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Nursing Home Data Compendium 

2001 ~*A> 



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Introduction to the CMS Nursing Home Data Compendium, 2001 



This is the second edition of the Center for Medicare & Medicaid Services (CMS) annual Nursing Home Data 
Compendium. CMS, which has the responsibility for overseeing quality of care in the nation's 16,800 Medicare- and 
Medicaid-certified nursing homes, publishes this volume to provide a more detailed picture about the residents of 
these nursing homes. We hope that this data compendium will serve as a useful resource for policy makers, 
researchers, and consumers. 

The compendium contains figures and tables presenting data on aH residents in Medicare- and Medicaid-certified 
nursing homes in the United States A series of graphs, charts, and maps highlights some of the most interesting 
data, while detailed data are available in accompanying tables. The Methods Section, found in Appendix A, lists the 
sources of the data used in this report and explains the methods used in calculating many of the data elements 
presented in the Data Compendium tables. 



Overview of Contents 

Nursing Home Certification and Ownership 

In 2001, just over 16,600 nursing homes were certified to participate in the Medicare and/or Medicaid programs. 
Nationally, the number of nursing homes participating in Medicare and Medicaid has decreased steadily since 1997. 
This decrease has occurred in most, but not all, states. The bulk of the decrease has occurred among for-profit 
nursing homes and among nursing homes with fewer than 50 beds. Government-owned nursing homes, which 
represent the smallest category of ownership at about 6.496 of nursing homes, experienced the greatest proportional 
decline in ownership. 

Most nursing homes are of a medium size: more than three-fourths have been 50 and 200 beds. In 2001, only about 
15% of nursing homes have fewer than 50 beds — down from 1796 of nursing homes in 1997. 

More than 8096 of certified nursing homes participate in both Medicare and Medicaid; Slightly more than 696 are 
certified to participate only in Medicare; 1296 participate only in Medicaid. For-profit facilities account for about 6596 
of the certified homes and care for almost two-thirds of nursing home residents. About 2896 of nursing homes are 
non-profit. The others are government-operated. 



Nursing Home Residents 

More than 3 million individuals had at least one completed MDS assessment in 2001. About 7096 of these residents 
were female. The female to male ratio varied by state, from 1.4 to 1 in Alaska to 2.7 to 1 in Alabama. Seventy-five 
percent of all nursing home residents were 75 years of age or older. Alaska, Puerto Rico, and Louisiana had the 
highest proportions of young nursing home residents (under the age of 65 years) while South Dakota, Iowa, and 
North Dakota had the highest proportions of residents aged 95 years and older. 



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These data show that about 1596 of the U.S. nursing population consists of Asian, African-American, or other ethnic 
and racial minorities. Minorities make up a larger proportion of the population of large nursing homes (with 200 or 
more beds). 

According to these data, more than 6896 of nursing home residents are over the age of 75, while a steadily increasing 
proportion of residents are under the age of 30. The proportion of residents under the age of 30 increased from 
10.096 to 10.796 from 1999 to 2001. 

Occupancy rates for nursing home have been decreasing slowly since 1996. In 1996, nursing homes, on average had 
about 8596 of their beds occupied. This has decreased to about 8296 occupancy in 2000. 

Both cognitive and functional impairments are common in nursing homes. About 28.596 of residents had no cognitive 
impairment as measured by the Cognitive Performance Scale (CPS). This proportion remained constant from 1999 to 
2001. The proportion of residents with severe or very severe cognitive impairment scores on the CPS decreased 
slightly, from 16.8 96 to 16.296 from 1999 to 2001.. Residents of nursing homes with fewer than 50 beds or about half 
as likely as residents of larger nursing homes to have severe cognitive impairment. More than one third of nursing 
home residents require extensive assistance with at least four of the five Activities of Daily Living (ADL) that were 
examined (bed mobility, transferring, dressing, eating, or toileting). Facilities with fewer than 50 beds report lower 
levels of ADL impairment in residents than do larger facilities. 

Clinical problems are also common in nursing homes. As noted in the Nursing Home Data Compendium for 2000, 
incontinence remains a severe problem. More than one-third of nursing home residents are incontinent of bowel or 
bladder all or most of the time. The median prevalence of pressure ulcers across all nursing homes increased slightly 
over the observation period from 7.496 to 7.996. The incidence remained relatively stable at about 296. 

The median prevalence of physical restraint use decreased from 1999 to 2000, but remained approximately constant 
from 2000 to 2001 while the incidence of new use of restraints has remained steady at about 196. Data on reported 
involuntary weight loss also appears to support a downward trend from the beginning of 1999 through 2001, 
decreasing from 11.496 to 9.396 during that period. Since the beginning of 1999 the prevalence of tube feeding has 
been fairly steady, at 4.296 to 4.496. Fewer nursing homes are reporting high proportions of residents who are 
dehydrated, as represented by the 90 th percentile of facility-reported prevalence measures. 

Results from the on-site surveys of nursing homes have also changed somewhat over time. The compendium 
presents data from 1996 through 2001. The average number of health deficiencies cited during the survey has 
increased from 5.1 per facility in 1996 to 6.3 per facility in 2001. The percentage of nursing homes that did not 
receive any citations for health deficiencies during the survey has decreased substantially; while 2296 of nursing 
homes were not cited for health deficiencies in 1996, about 1196 were not cited in 2000. However, the proportion of 
facilities cited for deficiencies at the level of actual harm or greater decreased by about 3296 from 1999 to 2001 (the 
proportion of deficiencies cited at this level decreased by 4596). Fewer facilities are being cited for the improper use 
of physical and chemical restraints. In 1996, 14.496 of nursing homes were cited. About 1196 were cited in 2000 and 
2001. Citations for instances of abuse have declined, after a period of increase from 1998-2000. Citations for 
pressure ulcers increased from 15.396 in 1996 to 18.696 in 1999, and then declined to 17.296 in 2001. 

The percentage of nursing homes cited for substandard quality of care has fluctuated somewhat from year to year, 
but has never been above 5.896 during the four-year period. The proportion of nursing homes being cited for 



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substandard quality of care declined to 4.3% — the lowest level since the implementation of the nursing home 
enforcement regulations in 1995. 

Additional information about the material highlighted above is available at the state level in the figures, maps, and 
tables that follow. 



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Acknowledgements 

The following were contributors to the production of the data compendium: 

Edward Mortimore 

Division of Nursing Homes, Centers for Medicare and Medicaid Services 

Jill Kelly 

Division of Nursing Homes, Centers for Medicare and Medicaid Services 

Daniel Zeller 

Division of Nursing Homes, Centers for Medicare and Medicaid Services 

James H. Forsythe, Ph.D 
West Virginia Medical Institute 

Les Delpizzo 

West Virginia Medical Institute 

Susan Hu, M.S., 

West Virginia Medical institute; (Now with) Office of Research, Development, and Information Centers for Medicare 

and Medicaid Services, Department of Health and Human Resources 

Helen M. Cowie, M.S. 

West Virginia Medical Institute 

David Champney 

West Virginia Medical Institute 

Joanne Finley, M.D. 

West Virginia Medical Institute 

C. McKeen Cowles, Cowles Research Group 

David E. Bell, West Virginia Medical Institute 

Maria Salatti, David E. Bell, Inc. 

Claire Hardwick, David E. Bell, Inc. 

Brian P. Bell, B Squared Consulting, Inc. 

The cover was designed by Patricia D. Payne, CMS, Division of Nursing Homes. 



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Figures Index 

Intro. Figure: United States Aged Population with Out-year Projections 1900-2050 18 

Figure 1. Number of Nursing Homes by Year: United States, 1996-2001 19 

Figure 2. Number of Nursing Homes by State: United States, 2001 20 

Figure 3. Number of Nursing Homes by Bed Size by Year: United States, 1996-2001 21 

Figure 4. Number of Nursing Homes by Ownership by Year: United States, 1996-2001 22 

Figure 5. Number of Nursing Homes that are For Profit by State: United States, 2001 26 

Figure 6. Number of Nursing Homes by Certification by Year: United States, 1996-2001 23 

Figure 7. Nursing Home Occupancy Rates by Year: United States, 1996-2001 24 

Figure 8. Nursing Home Occupancy Rates by State: United States, 2001 25 

Figure 9. Nursing Home Residents by Sex by Year: United States, 1998-2001 56 

Figure 10. Nursing Home Residents by Age Group by Year: United States, 1998-2001 57 

Figure 11. Percent of Nursing Home Residents Aged 65 Years and Older by State: 58 

Figure 12. Percent of Nursing Home Residents Aged 85 Years and Older by State: 59 

Figure 13. Nursing Home Residents by Race by Year: United States, 1998-2001 60 

Figure 14. Distribution of Number of ADL Impairments in Nursing Home Residents by Year: 93 
United States: 1998-2001 

Figure 15. Distribution of Cognitive Impairments in Nursing Home Residents by Year: 94 
United States, 1998-2001 

Figure 16. Median Pressure Ulcer Prevalence in Nursing Home Residents by Year: 95 
United States, Third Quarter 1998-2001 



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Figures (continued) 

Figure 17. Median Pressure Ulcer Prevalence in Nursing Home Residents by State: 96 

United States: Third Quarter 2001 

Figure 18. Prevalence of Pressure Ulcers in Nursing Home Residents by State: 97 

United States: Third Quarter 2001 

Figure 19. Incidence of Pressure Ulcers in Nursing Home Residents by Quarter: 98 

United States, 1998-2001 

Figure 20. Median Prevalence of Use of Restraints in Nursing Home Residents by State: 99 

United States: Third Quarter 2001 

Figure 21. Prevalence of Physical Restraints in Nursing Home Residents by State: 100 

United States: Third Quarter 2001 

Figure 22. Median Prevalence of Tube Feeding in Nursing Home Residents by State: 101 

United States: Third Quarter 2001 

Figure 23. Prevalence of Tube Feeding in Nursing Home Residents by State: 102 

United States, Third Quarter 2001 

Figure 24a. Median Prevalence of Weight Loss in Nursing Home Residents by State: 104 

United States, Third Quarter 2001 

Figure 24b. Median Prevalence of Weight Loss in Nursing Home Residents by State: 103 

United States, Third Quarter 2001 

Figure 25. Prevalence of Dehydration in Nursing Home Residents at the 90th percentile by State 105 

United States, Third Quarter, 2001 

Figure 26. Prevalence of Dehydration in Nursing Home Residents at the 90th Percentile by State 106 

United States, Third Quarter, 2001 



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Figures (continued) 

Figure 27. Prevalence of Severe Bowel or Bladder Incontinence in Nursing Home Residents 107 

by Quarter: United States, Quarterly 1998-2001 

Figure 28. Median Prevalence of Severe Bowel or Bladder Incontinence in Nursing Home 108 

Residents by State: United States, Third Quarter 2001 

Figure 29. Prevalence of Severe Bowel or Bladder Incontinence in Nursing Home Residents 109 

by State : United States, 2001 

Figure 30. Mean Number of Health Deficiencies Cited in Nursing Home Surveys by Year: 145 

United States, 1996-2001 

Figure 31. Mean Number of Health Deficiencies Cited in Nursing Home Surveys by State: 146 

United States, 2001 

Figure 32. Mean Number of Health Deficiencies Cited in Nursing Home Surveys by State: 147 

United States, 2001 

Figure 33. Percent of Nursing Home Surveys Resulting in Zero Health Deficiency Citations 148 

by Year: United States, 1996-2001 

Figure 34. Percent of Nursing Home Surveys Resulting in Zero Health Deficiency Citations 149 

by State: United States, 2001 

Figure 35. Percent of Nursing Home Surveys Resulting in Zero Health Deficiency Citations by State: 150 

United States, 2001 

Figure 36 a - c. Percent Distribution of Scope and Severity of Health Deficiency Citations by Year: 142-144 

United States: 1996-2001 (Grid) 

Figure 37. Percent Distribution of Scope and Severity of Health Deficiency Citations by Year: 151 

United States: 1996-2001 



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Figures (continued) 

Figure 38. Percent of Nursing Home Surveys Resulting in a Health Deficiency of Actual Harm 152 

or Immediate Jeopardy to Residents by Year: United States, 1996-2001 

Figure 39. Percent of Nursing Home Surveys Resulting in a Health Deficiency of Actual Harm 153 

or Immediate Jeopardy to Nursing Home Residents by State: United States, 2001 

Figure 40. Percent of Nursing Home Surveys Resulting in a Health Deficiency of Actual Harm 154 

or Immediate Jeopardy to Nursing Home Residents by State: United States, 2001 

Figure 41. Percent of Nursing Home Surveys Resulting in a Health Deficiency of Immediate 155 

Jeopardy to Nursing Home Residents by Year: United States, 1996-2001 

Figure 42. Percent of Nursing Home Surveys Resulting in a Health Deficiency of Immediate 156 

Jeopardy to Nursing Home Residents by State: United States, 2001 

Figure 43. Percent of Nursing Home Surveys Resulting in a Citation for Substandard Quality of 157 

Care by Year: United States, 1996-2001 

Figure 44. Percent of Nursing Home Surveys Resulting in a Citation for Substandard Quality of 158 

Care by State: United States, 2001 

Figure 45. Percent of Nursing Home Surveys Resulting in a Citation for Substandard Quality of 159 

Care by State: United States, 2001 

Figure 46. 46. Percent of Nursing Home Surveys Resulting in a Citation for Abuse of Residents by Year: 160 
United States, 1996-2001 

Figure 47. Percent of Nursing Home Surveys Resulting in a Citation for Abuse of Residents by 161 

State: United States, 2001 

Figure 48. Percent of Nursing Home Surveys Resulting in a Citation for Abuse of Residents by State: 162 

United States, 2001 

Figure 49. Percent of Nursing Home Surveys Resulting in a Citation for Use of Restraints by Year: 163 

United States, 1996-2001 



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Figures (continued) 

Figure 50. Percent of Nursing Home Surveys Resulting in a Citation for Use of Restraints by State: 164 

United States, 2001 

Figure 51. Percent of Nursing Home Surveys Resulting in a Citation for Failure to Treat or 165 

Prevent Pressure Ulcers by Year: United States, 1996-2001 

Figure 52. Percent of Nursing Home Surveys Resulting in a Citation for Failure to Treat or 166 

Prevent Pressure Ulcers by State: United States, 2001 

Figure 53. Number of Certified Nursing Home Beds Per Thousand Residents Age 65 and Older by State: 27 & 110 

United States, 2001 

Figure 54. Number of Certified Nursing Home Beds Per Thousand Residents Age 85 and Older by State: 28 
United States, 2001 

Figure 55. Percent of Nursing Homes that are Non-Profit by State: United States, 2001 29 

Figure 56. Percent of Nursing Homes that are Government Owned by State: United States, 2001 30 

141 & 
Figure 58. Scope and Severity Grid used by Nursing Home Regulation and Enforcement Surveyors 280 



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List of Tables 

Table la-f. Number of Nursing Homes by Bed Size Category: United States, 1996-2001 31 - 36 

Table 2a-f. Number of Nursing Homes by Ownership: United States, 1996-2001 37 - 42 

Table 3a-f. Number of Nursing Homes by Type of Certification: United States, 1996-2001 43 - 48 

Table 4. Nursing Home Occupancy Rates by State: United States, 1996-2001 49 

Table 5. Medicare and Medicaid Certified Nursing Home Beds per Thousand by Age Group 50 

Table 5a. Summary of Characteristics of Nursing Home Residents: United States, 2001 61 

Table 5b. Nursing Home Residents by Race, Sex and Age by State, 2001 62 - 74 

Table 6. Summary of Incidence and Prevalence of Clinical Measures in Nursing Home Residents: 111 
United States, Quarterly 1998-2001 

Table 7. Nursing Home Residents by Sex and Type of Nursing Home: United States, 1999-2001 51 & 75 

Table 8. Nursing Home Residents by Sex and State: United States, 1999-2001 76 

Table 9. Nursing Home Residents by Age Group and Type of Nursing Home: United States, 1999-2001 51 & 76 

Tables 10. Nursing Home Residents by Age Group: United States, 1999-2001 78 - 80 

Table 11. Nursing Home Residents by Race and Type of Nursing Home: United States, 1999-2001 53 & 81 

Table 12a-f. Nursing Home Residents by Race and State: United States, 1999-2001 82 - 84 

Table 13. Distribution of Activity of Daily Living (ADL) Impairments in Nursing Home Residents by Type of 112 
Nursing Home: United States, 1999-2001 

Table 14a-f. Distribution of Activity of Daily Living (ADL) Impairments in Nursing Home Residents: 113 - 115 
United States, 1999-2001 



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Tables (continued) 

Table 15. Distribution of Cognitive Impairments in Nursing Home Residents by Type of Nursing Home: 116 

United States, 1999-2001 

Table 16a-f. Distribution of Cognitive Impairments in Nursing Home Residents by State: 117 - 119 

United States, 1999-2001 

Table 17. Prevalence of Pressure Ulcers in Residents at the 90th, 50th and 10th Percentile: 120 

United States, Quarterly 1999-2001 

Table 18. Prevalence of Pressure Ulcers in Nursing Home Residents by State at the 90th, 50th and 121 

10th Percentile: United States, Third Quarter 1999-2001 

Table 19. Incidence of Pressure Ulcers in Nursing Home Residents at the 90th, 50th and 10th Percentile: 122 

United States, Quarterly 1999-2001 

Table 20. Incidence of Pressure Ulcers in Residents at the 90th, 50th and 10th Percentile: 123 

United States, Third Quarter 1999-2001 

Table 21. Prevalence of Physical Restraint Use in Nursing Homes at the 90th, 50th and 10th Percentile: 124 

United States, Quarterly 1999-2001 

Table 22. Prevalence of Physical Restraint Use in Nursing Homes at the 90th, 50th and 10th Percentile: 125 

United States, Third Quarter 1999-2001 

Table 23. Incidence of Physical Restraint Use in Nursing Homes at the 90th, 50th and 10th Percentile: 126 

United States, Quarterly 1999-2001 

Table 24. Incidence of Physical Restraint Use in Nursing Homes at the 90th, 50th and 10th Percentile: 127 

United States, Third Quarter 1999-2001 

Table 25. Prevalence of Tube Feeding in Nursing Homes by Type of Nursing Home at the 90th, 128 

50th and 10th Percentile: United States, Quarterly 1999-2001 

Table 26. Prevalence of Tube Feeding in Nursing Homes at the 90th, 50th and 10th Percentile: 129 

United States, Third Quarter 1999-2001 



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Tables (continued) 

Table 27. Prevalence of Weight Loss in Nursing Homes by Type of Nursing Home at the 90th, 130 

50th and 10th Percentile: United States, Quarterly 1999-2001 

Table 28. Prevalence of Weight Loss in Nursing Homes at the 90th, 50th and 10th Percentile: 131 

United States, Third Quarter 1999-2001 

Table 29. Prevalence of Dehydration in Nursing Homes by Type of Nursing Home at the 90th, 132 

50th and 10th Percentile: United States, Quarterly 1999-2001 

Table 30. Prevalence of Dehydration in Nursing Homes at the 90th, 50th and 10th Percentile: 133 

United States, Third Quarter 1999-2001 

Table 31. Prevalence of Severe Bowel or Bladder Incontinence by Type of Nursing Home at the 134 

90th, 50th and 10th Percentile: United States, Quarterly 1999-2001 

Table 32. Prevalence of Severe Bowel or Bladder Incontinence by State at the 90th, 50th and 10th 135 

Percentile: United States, Third Quarter 1999-2001 

Table 33. Mean Number of Health Deficiencies Cited in Nursing Home Surveys by Bed Size Category: 167 - 172 

United States, 1996-2001 

Table 34a-f. Mean Number of Health Deficiencies Cited in Nursing Home Surveys by Type of Ownership: 173 - 178 

United States, 1996-2001 

Table 35a-f. Nursing Home Surveys Resulting in Zero Health Deficiency Citations by Bed Size Category: 179 - 184 

United States, 1996-2001 

Table 36a-f. Nursing Home Surveys Resulting in Zero Health Deficiency Citations by Type of Ownership: 185 - 190 

United States, 1996-2001 

Table 37a-f. Percent Distribution of Scope and Severity of Health Deficiency Citations: 191 - 196 

United States, 1996-2001 

Table 38a-f. Nursing Home Surveys Resulting in a Health Deficiency of Actual Harm or Immediate 197 - 202 

Jeopardy to Nursing Home Residents by Bed Size Category: United States, 1996-2001 



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Tables (continued) 



Table 39a-f. Nursing Home Surveys Resulting in a Health Deficiency of Actual Harm or Immediate 
Jeopardy to Nursing Home Residents by Type of Ownership: United States, 1996-2001 



203 - 208 



Table 40a-f. Nursing Home Surveys Resulting in a Health Deficiency of Immediate Jeopardy to Residents 
by Bed Size Category: United States, 1996-2001 



209 - 214 



Table 41a-f. Nursing Home Surveys Resulting in a Health Deficiency of Immediate Jeopardy to 
Nursing Home Residents by Type of Ownership: United States, 1996-2001 



215 - 220 



Table 42a-f. Nursing Home Surveys Resulting in a Citation for Substandard Quality of Care by 
Bed Size Category: United States, 1996-2001 



221 - 226 



Table 43a-f. Nursing Home Surveys Resulting in a Citation for Substandard Quality of Care by 
Type of Ownership: United States, 1996-2001 



227 - 232 



Table 44a-f. Nursing Home Surveys Resulting in a Citation for Abuse of Residents by Bed Size 
Category: United States, 1996-2001 



233 - 238 



Table 45a-f. Nursing Home Surveys Resulting in a Citation for Abuse of Residents by Type of 
Ownership: United States, 1996-2001 



239 - 244 



Table 46a-f. Nursing Home Surveys Resulting in a Citation for Use of Physical Restraints by 
Bed Size Category: United States, 1996-2001 



245 - 250 



Table 47a-f. Nursing Home Surveys Resulting in a Citation for Use of Physical Restraints by 
Type of Ownership: United States, 1996-2001 



251 - 256 



Table 48a-f. Nursing Home Surveys Resulting in a Citation for Failure to Treat or Prevent Pressure 
Ulcers by Bed Size Category: United States, 1996-2001 



257 - 262 



Table 49a-f. Nursing Home Surveys Resulting in a Citation for Failure to Treat or Prevent Pressure 
Ulcers by Type of Ownership: United States, 1996-2001 



263 - 268 



Table 50a-f. Prevalence of Tube Feeding, Weight Loss, Physical Restraints, Pressure Ulcers, Dehydration 
And Severe Bowel or Bladder Incontinence in Nursing Homes at the 50th Percentile: 
United States, Third Quarter 1998-2001 



269 - 274 



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Nursing Home 
Characteristics 



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Characteristics of Nursing 
Homes 



■ In 2001, about 16,600 nursing homes participated in 
the Medicare or Medicaid programs. The number of 
participating nursing homes continued to decline 
through 2001, having decreased by about 3% from its 
high in 1997 (17,253). 

Figure 1; Tables l(a)-l(f), 2(a)-2(f), and3(a)-3(f) 

■ The greatest decrease in the number of nursing homes 
occurred among homes with fewer than 50 beds. The 
number of nursing homes in this group declined by 
about 14% from 1996 to 2001. By contrast, the number 
of nursing homes with more than 100 beds has 
increased by about 1% during the same period. 

Figure 3; Tables 1 (a)-(f) 

■ California has the largest number of nursing homes in 
the United States (1,338), followed by Texas (1,167) 
and Ohio (995). Alaska has the fewest number of 
nursing homes (15). Alaska, Delaware, the District of 
Columbia, Hawaii, Nevada, Vermont, and Wyoming 
each had fewer than 50 nursing homes. 

Figure 2; Tables -1(f), 2(f), and 3(f) 

Distribution and Accessibility 

■ In 2001, most facilities had 50 to 199 beds. Slightly 
more than 1,200 nursing homes had 200 beds or more. 
About 2,500 facilities had fewer than 50 beds. 

Figure 3, Table 1(f) 

■ The number of beds in Medicare- and Medicaid- 
certified nursing homes per 1,000 people age 65 and 
older varies greatly from one state to another. In 
2001, this proportion ranged from 21.2 in Alaska to 
79.7 in Iowa. 

Table 5(b) 



Hawaii had the fewest number of beds in Medicare- 
and Medicaid-certified nursing homes per person age 
85 years and older (229.1) in 2001, while Louisiana 
had the greatest number of beds (670.5) 

Table 5(b) 

The highest "density" of nursing home beds exists in 
the upper Mississippi River and upper Ohio River 
states, and in New England. 



Average nursing home occupancy rates have declined 
slightly since 1996, although they increased from 
83.9% in 2000 to 84.3% in 2001. 

Table 4 



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Ownership 



Certification 



In 2001, approximately 65 percent (10,802) of nursing 
homes were for-profit, and about 28 percent (4,762) 
were non-profit. Federal, State, county, and local 
government agencies controlled the remainder (1,064) 

Figure 4, Table 2(f) 

For-profit nursing homes represent 75% or more of 
the market in 10 states: California, Texas, Oklahoma, 
Arkansas, Alabama, Georgia, Utah, Connecticut, Rhode 
Island, and Louisiana. The 10 jurisdictions with the 
lowest proportion of for-profit nursing homes are: 
Alaska, North Dakota, Minnesota, the District of 
Columbia, South Dakota, Montana, Wyoming, 
Pennsylvania, Hawaii, and Delaware. 

Figures, Table 2(f) 



Most certified nursing homes participate in both 
Medicare and Medicaid. In 2001, 1,063 (6 percent) of 
nursing homes were certified only to participate in 
Medicare and 1933 (12 percent) participated only in 
Medicaid. 

Figure 6, Table 3(f) 

The proportion of nursing homes that participate in 
both Medicare and Medicaid increased from 74 
percent in 1996 to 82 percent in 2001. 

Figure 6, Tables 3(a)-3(f) 

In the past six years, the number of nursing homes 
participating in Medicare only has declined by about 
24%, or 329 facilities. 



The number of for-profit nursing homes has declined 
by about 5%, or 530 facilities, in the past six years. 
Among the 10 states with the highest proportion of 
for-profit facilities, the decline was 6.3%. 

Figure 4, Tables 2(a)-2(f) 

The number of non-profit nursing homes has increased 
by about 1%, or 47 facilities, since 1996. 

Figured Tables 2(a)-2(f) 

The number of government-owned nursing homes has 
decreased by about 6%, or 72 facilities, since 1996. 

Figures 4 and 5, Tables 2(a)-2(f) 

In 2001, the ten largest chains owned about 2,800 
nursing homes, or about 17% of all participating 
nursing homes. 



Figure 6, Tables 3(a)-3(f) 



■ The number of Medicaid-only nursing homes has 
declined 35%, or by 1,016 facilities, in the past six 
years. 

Figure 6, Tables 3(a)-3(f) 

Technical Notes: 

These data are from CMS's Online Survey Certification and 
Reporting (OSCAR) System, an administrative database that 
captures data about the survey and certification process. 
Data from OSCAR are a combination of self-reported data 
from nursing facilities and compliance data gathered by 
survey teams. 

The population data came from files developed by US 
Census Bureau staff, following specifications from WVMI. 
These files covered 1999 only. Thus, all ratios of beds-per- 
1000-people use 1999 population numbers. 



Nursing Homes in Puerto Rico and the Virgin Islands were 
excluded from the analysis. Fewer than 10 certified nursing 
homes operate in each of these entities. 



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Table 1 (a). Number of Nursing Homes by Bed Size Category and State: United States, 1996 









Number of Beds 








<5u 


50-9$ 


100-1$$ 


>1S$ 


All Facilities 


ation 


2937 


5988 


6985 


1273 


17183 



Alabama 

Alaska 

Arizona 

Arkansas 

California 



20 
12 
33 
31 
313 



84 
3 

31 
104 
710 



110 



79 

126 

323 



9 
1 

15 
6 

69 



223 

16 

158 

267 

1415 



Colorado 

Connecticut 

Delaware 

District of Columbia 

Florida 



54 
18 

5 

4 

85 



73 

78 

12 

7 

150 



87 
142 

25 

5 

427 



1 

6 

38 



222 

262 

43 

22 

700 



Georgia 

Hawaii 

Idaho 

Illinois 

Indiana 



26 

15 

30 

110 

128 



116 

12 

27 

279 

171 



192 

12 

22 

328 

221 



23 

4 

1 

144 

56 



357 

43 

80 

861 

576 



Iowa 

Kansas 

Kentucky 

Louisiana 

Maine 



78 

109 

85 

58 

41 



275 

241 

121 

65 



109 

75 

100 

199 

24 



11 
4 
6 

23 
3 



473 
429 
312 
345 
136 



Maryland 

Massachusetts 

Michigan 

Minnesota 

Mississippi 



42 
119 
45 
55 
47 



50 
147 
135 
215 

78 



122 
279 
223 
158 
73 



34 

22 

40 

28 

5 



567 
443 
456 
203 



Missouri 

Montana 

Nebraska 

Nevada 

New Hampshire 



90 
43 
53 
15 
12 



227 

37 

128 

8 

34 



230 
22 
52 
16 
29 



27 
2 
5 



574 

104 

238 

43 

81 

"332" 



New Jersey 
New Mexico 
New York 
North Carolina 
North Dakota 



34 
19 
51 
48 
21 



52 

33 

119 

149 

41 



186 

32 

267 

192 

24 



60 
1 

222 

11 

2 



659 
400 



Ohio 

Oklahoma 
Oregon 
Pennsylvania 
Rhode Island 



166 
70 
34 

148 
16 



280 
204 

71 
164 

33 



492 
149 

57 
373 

40 



83 
6 
2 

92 

7 



1021 

429 

164 

777 

96 



South Carolina 
South Dakota 
Tennessee 
Texas 
Utah 



37 
24 
53 
240 
28 



66 
73 
96 
417 
34 



65 

16 

169 

606 

32 



5 

1 

21 



173 

114 

339 

1311 

95 



Vermont 

Virginia 

Washington 

West Virginia 

Wisconsin 

Wyoming 



12 

42 
45 
28 
37 



15 

87 
113 

58 
179 

18 



18 
125 
119 

49 
153 

11 




22 
10 

2 
50 

1 



45 
276 
287 
137 
419 

38 



Source: OSCAR 



31 



Nursing Homes by Bed Size 



i 
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Table 1 (b). Number of Nursing Homes by Bed Size Category and State: 

United States, 1997 

Number of Beds 

<50 50-99 100-199 >199 All Facilities 

Nation 2991 5942 7038 1282 17253 

Alabama 15 86 111 11 223 

Alaska 11 3 1 15 

Arizona 30 36 82 16 164 

Arkansas 34 99 125 6 264 

California 320 708 327 68 1423 

Colorado 55 73 90 7 225 

Connecticut 15 76 144 25 260 

Delaware 5 11 27 1 44 

District of Columbia 5 6 5 6 22 

Florida 99 147 442 38 726_ 

Georgia ~~~ 23 114 193 25 ~ 355 

Hawaii 15 12 12 4 43 

Idaho 33 24 28 85 

Illinois 115 275 334 147 871 

Indiana 128 168 222 5_7 575_ 

Iowa 74 278 111 9 472 

Kansas 111 231 70 4 416 

Kentucky 84 122 104 6 316 

Louisiana 57 67 195 23 342 

Maine 4_5 67 20 3 135_ 

Maryland ~ 46 " ~~ 50 125 34 255 

Massachusetts 109 148 287 22 566 

Michigan 47 132 226 39 444 

Minnesota 53 217 153 27 450 

Mississippi 46 1J_ 75 5 203 

Missouri ~~~ 90 222 235 27 574 

Montana 41 34 26 2 103 

Nebraska 57 126 49 5 237 

Nevada 20 8 16 3 47 

New Hampshire 12 35 29 6 82 

New Jersey 35 56 189 60 340 

New Mexico 18 32 33 2 85 

New York 49 115 263 230 657 

North Carolina 51 149 192 11 403 

North Dakota 23 39 24 2 88_ 

Ohio 162 274 499 83 ™ ~~~ 1018 

Oklahoma 71 195 141 6 413 

Oregon 34 70 56 2 162 

Pennsylvania 169 162 374 94 799 

Rhode Island 19 33 42 6 100 

South Carolina 39 63 68 6 176 

South Dakota 26 72 15 1 114 

Tennessee 56 96 176 21 349 

Texas 238 422 601 46 1307 

Utah 28 34 31 2 95 

Vermont ~ 12 15 18 45 

Virginia 41 92 122 22 277 

Washington 45 112 118 10 285 

WestVirginia 29 59 49 2 139 

Wisconsin 41 183 153 48 425 

Wyoming 10 17 11 1 39 



Sou re e: OSCAR 



32 



Nursing Homes by Bed Size 



Table 1 (c). Number of Nursing Homes by Bed Size Category and State: 

United States, 1998 

Numberof Beds 

^30 50-99 100-199 >199 All Facilities 

Nation 2945 5877 7097 1284 17203 

Alabama 12 86 113 11 222 

Alaska 11 3 1 15 

Arizona 32 35 84 16 167 

Arkansas 32 98 129 5 264 

California 307 710 331 65 1413 

Colorado ~ 54 76 90 7 227 

Connecticut 13 74 147 24 258 

Delaware 4 11 28 1 44 

District of Columbia 3 6 5 6 20 

Florida 105 139 4_5J 39 735_ 

Georgia 27 ~'~" 113 194 25 359 

Hawaii 16 12 12 4 44 

Idaho 30 26 28 84 

Illinois 118 276 332 152 878 

Indiana 128 165 219 58 570_ 

Iowa " 74 ~ 280 108 " 9 ~ 471 

Kansas 109 224 67 5 405 

Kentucky 84 119 105 6 314 

Louisiana 53 64 200 23 340 

Maine 43 62 21 3 129_ 

Maryland 50 48 125 "~ 33 256 

Massachusetts 106 149 284 22 561 

Michigan 49 131 228 39 447 

Minnesota 52 212 153 29 446 

Mississippi 42 75 76 5 198 

Missouri 92 209 236 26 563 

Montana 43 33 27 2 105 

Nebraska 59 125 51 4 239 

Nevada 19 8 18 3 48 

New Hampshire 15 35 29 5 84 

New Jersey 46 60 192 60 358 

New Mexico 14 32 33 2 81 

New York 49 114 264 234 661 

North Carolina 50 143 200 12 405 

North Dakota 25 38 23 2 88 

Ohio 152 283 499 80 1014 

Oklahoma 67 195 139 8 409 

Oregon 34 67 57 2 160 

Pennsylvania 167 165 375 92 799 

Rhode Island 19 34 42 6 101 

South Carolina 35 60 ~~ 72 "~ 6 173 

South Dakota 25 73 15 1 114 

Tennessee 58 94 178 22 352 

Texas 213 412 608 47 1280 

Utah 27 33 31 2 93_ 

Vermont 12 14 18 44 

Virginia 39 89 129 19 276 

Washington 49 112 114 9 284 

WestVirginia 31 60 50 2 143 

Wisconsin 40 179 154 49 422 

Wyoming 11 16 12 1 40 



Source: OSCAR 



33 



Nursing Homes by Bed Size 



Table 1 (d). Number of Nursing Homes by Bed Size Category and State: 
United States, 1999 __ 

Number of Beds 





<50 


50-99 


100-199 


>199 


All Facilities 


Nation 


2773 


5869 


7116 


1260 


17018 


Alabama 


14 


85 


115 


11 


225 


Alaska 


11 


3 





1 


15 


Arizona 


24 


31 


85 


16 


156 


Arkansas 


31 


93 


130 


5 


259 


California 


281 


706 


330 


67 


1384 


Colorado 


52 


81 


87 


7 


227 


C onnecticut 


13 


75 


146 


23 


257 


Delaware 


4 


9 


29 


1 


43 


District of Columbia 


2 


7 


5 


6 


20 


Florida 


96 


135 


472 


36 


739 


G eorgia 


27 


113 


198 


25 


363 


Hawaii 


17 


12 


12 


3 


44 


Idaho 


29 


26 


27 





82 


Illinois 


113 


277 


332 


157 


879 


Indiana 


128 


184 


218 


39 


569 


Iowa 


78 


279 


105 


8 


470 


Kansas 


109 


214 


69 


6 


398 


Kentucky 


77 


118 


107 


6 


308 


Louisiana 


47 


68 


200 


24 


339 


Maine 


44 


63 


16 


3 


126 


Maryland 


49 


51 


120 


30 


250 


Massachusetts 


95 


137 


285 


22 


539 


Michigan 


46 


128 


226 


38 


438 


Minnesota 


53 


217 


145 


29 


444 


Mississippi 


35 


77 


77 


5 


194 


Missouri 


82 


216 


233 


26 


557 


M o n ta n a 


42 


34 


26 


2 


104 


Nebraska 


58 


125 


51 


3 


237 


Nevada 


14 


12 


21 


5 


52 


New Hampshire 


14 


35 


29 


5 


83 


New Jersey 


47 


60 


197 


59 


363 


New Mexico 


15 


32 


33 


2 


82 


New York 


46 


114 


266 


234 


660 


North Carolina 


47 


142 


205 


13 


407 


North Dakota 


26 


39 


22 


2 


89 


Ohio 


144 


279 


506 


77 


1006 


klahoma 


65 


194 


139 


8 


406 


re g o n 


25 


68 


56 


2 


151 


Pennsylvania 


148 


168 


373 


94 


783 


R hode Island 


19 


34 


42 


6 


101 


South Carolina 


38 


59 


74 


6 


177 


South Dakota 


30 


68 


15 


1 


114 


Tennessee 


52 


96 


179 


22 


349 


Texas 


177 


408 


609 


45 


1239 


Utah 


27 


31 


32 


2 


92 


Vermont 


14 


13 


18 





45 


Virginia 


37 


89 


127 


19 


272 


Washington 


48 


108 


114 


8 


278 


W est Virginia 


29 


57 


50 


1 


137 


W isconsin 


42 


183 


151 


49 


425 


W yoming 


12 


16 


12 


1 


41 



Source: OSCAR 



34 



Nursing Homes by Bed Size 



Table 1 (e). Number of Nursing Homes by Bed Size Category and State: 
United States, 2000 



Alabama 

Alaska 

Arizona 

Arkansas 

California 









Number of Beds 








<50 


50-99 


100-199 


>199 


All Facilities 


ation 


2634 


5844 


7128 


1241 


16847 



15 
10 
17 
26 
268 



27 

93 

699 



116 
n/a 
86 
131 
331 



11 
1 

15 
5 

65 



226 

15 

145 

255 

1363 



Colorado 

Connecticut 

Delaware 

District of Columbia 

Florida 



50 

14 

4 

3 

83 



81 

76 

10 

7 

134 



147 

28 

5 

475 



6 

22 

1 

6 

36 



225 

259 

43 

21 

728 



Georgia 

Hawaii 

Idaho 

Illinois 

Indiana 



26 

17 

30 

104 

117 



113 

11 

27 

277 

187 



198 

14 

27 

330 

223 



25 

3 

n/a 

154 

39 



362 

45 

84 

865 

566 

"467" 
391 
305 
335 
126 

"253" 
525 
437 
432 
192 

"552" 

104 

236 

51 

83 

"362" 

* 80 
664 
415 



Iowa 

Kansas 

Kentucky 

Louisiana 

Maine 



86 

110 
70 
46 
46 



271 

209 

120 

65 

61 



103 

66 

109 

202 

17 



7 
6 
6 

22 
2 



Maryland 

Massachusetts 

Michigan 

Minnesota 

Mississippi 



45 
91 
46 
61 
30 



50 

133 

131 

215 

79 



125 

279 

225 

130 

78 



33 

22 

35 

26 

5 



Missouri 

Montana 

Nebraska 

Nevada 

New Hampshire 



74 
42 
62 
13 
14 



221 
34 

125 
12 
35 



230 
26 
45 
21 
29 



27 
2 
4 
5 
5 



New Jersey 
New Mexico 
New York 
North Carolina 
North Dakota 



37 
13 

48 
49 
25 



61 

32 

110 

142 

39 



203 

33 

269 

211 

22 



61 

2 

237 

13 
2 



Ohio 

Oklahoma 
Oregon 
Pennsylvania 
Rhode Island 



South Carolina 
South Dakota 
Tennessee 
Texas 
Utah 



137 

54 

22 

135 

19 



39 
35 

54 

145 

25 



288 
186 

70 
170 

32 



65 

94 

402 

32 



505 
140 

54 
373 

42 



75 

14 

183 

616 

34 



75 



6 
6~ 

n/a 

20 

44 

2 



1005 

388 

148 

767 

99 



178 

114 

351 

1207 

93 



Vermont 

Virginia 

Washington 

West Virginia 

Wisconsin 

Wyoming 



12 
37 
50 
28 
39 
11 



13 

91 
109 

59 
184 

16 



18 
130 
110 

50 
150 

12 



n/a 

20 
8 
1 

48 
1 



43 
278 
277 
138 
421 

40 



Source: OSCAR 
n/a: Data unavailable 



35 



Nursing Homes by Bed Size 



Table 1 (f). Number of Nursing 
United States, 2001 



Homes by Bed Size Category and State: 



Alabama 

Alaska 

Arizona 

Arkansas 

California 



Number of Beds 


<50 


50-99 100-199 


>199 


All Facilities 


ation 2517 


5811 7083 


1217 


16628 



13 

9 

14 

24 

255 



83 

5 

28 

95 

687 



119 



83 

129 

335 



13 

1 

15 

4 
61 



228 
15 

140 

252 

1338 



Colorado 

Connecticut 

Delaware 

District of Columbia 

Florida 



13 
4 
2 

74 



82 

75 

11 

7 

136 



87 
145 

26 

6 

476 



6 

21 

1 

6 

39 



223 

254 

42 

21 

725 



Georgia 

Hawaii 

Idaho 

Illinois 

Indiana 



25 

16 

29 

102 

109 



116 

12 

26 

272 

194 



196 

14 

29 

332 

223 



25 
3 



148 

33 



362 

45 

84 

854 

559 



Iowa 

Kansas 

Kentucky 

Louisiana 

Maine 



86 
106 
68 
39 
44 



271 

206 

120 

63 

62 



100 

61 

109 

204 

14 



6 

6 

21 

2 



466 
379 
303 
327 
122 



Maryland 

Massachusetts 

Michigan 

Minnesota 

Mississippi 



46 
81 
45 
62 
29 



50 
128 
133 
210 

89 



122 
276 
220 
132 
81 



31 
21 
36 
23 
3 



249 
506 
434 
427 
202 



Missouri 

Montana 

Nebraska 

Nevada 

New Hampshire 



65 

42 
67 
13 
13 



224 
33 

116 

9 

36 



232 
26 
43 
19 
29 



27 
2 
4 
5 
5 



548 

103 

230 

46 

83 



New Jersey 
New Mexico 
New York 
North Carolina 
North Dakota 



39 

14 
48 
45 
26 



59 

31 

111 

141 
37 



201 

33 

270 

211 

21 



63 

2 

239 

16 
2 



362 

80 
668 
413 

86 



Ohio 

Oklahoma 
Oregon 
Pennsylvania 
Rhode Island 



132 
54 
23 

130 

18 



300 
179 

67 
169 

32 



487 

140 

53 

374 

41 



76 



995 
379 
145 
761 
97 



South Carolina 
South Dakota 
Tennessee 
Texas 
Utah 



38 
36 
50 
123 
25 



58 
62 
94 
392 
30 



74 

14 

184 

611 

35 



7 



19 

41 

2 



177 

112 

347 

1167 

92 



Vermont 

Virginia 

Washington 

West Virginia 

Wisconsin 

Wyoming 



14 
35 
47 
28 
38 
11 



13 

90 
108 

62 
182 

15 



17 
135 
107 

49 
145 

13 




20 

7 

1 
43 





44 
280 
269 
140 
408 

39 



Source: OSCAR 



36 



Nursing Homes by Bed Size 



Table 2 (a). Number of Nursing Homes by Ownership and State: 
United States, 1996 

Ownership 



For-Profit 



Non-Pro fit 



Government 



All Facilities 



Nation 

Alabama 

Alaska 

Arizona 

Arkansas 

California 



Colorado 

C onnecticut 

Delaware 

District of Columbia 

Florida 



11332 

172 

1 

100 

215 

1047 



139 

205 

21 

7 

538 



4715 

28 

9 

54 

39 

306 
62 
55 
18 
13 

146 



1136 

23 

6 

4 

13 

62 



21 
2 
4 
2 

16 



17183 

223 

16 

158 

267 

1415 



222 

262 

43 

22 

700 



G eorgia 
Hawaii 
Idaho 
Illinois 
In d ia n a 



269 

18 

48 

554 

434 



64 

14 

13 

258 

127 



24 
11 
19 
49 
15 



357 

43 

80 

861 

576 



Iowa 

Kansas 

Kentucky 

Louisiana 

Maine 



256 
229 
204 
256 
99 



192 

144 

97 

62 

32 



25 
56 
11 
27 
5 



473 
429 
312 
345 
136 



Maryland 

Massachusetts 

Michigan 

Minnesota 

Mississippi 



149 
420 
277 
152 
139 



92 
132 
123 
238 

29 



7 
15 
43 
66 
35 



248 
567 
443 
456 
203 



Missouri 

M o n ta n a 

Nebraska 

Nevada 

New Hampshire 



374 
40 

108 
32 
42 



149 

44 

77 

6 

26 



51 
20 
53 
5 
13 



574 

104 

238 

43 

81 



New Jersey 
New Mexico 
New York 
North Carolina 
North Dakota 



210 

50 

316 

296 

10 



100 
28 

286 
87 
76 



22 

8 

57 

17 

2 



332 

86 
659 
400 



Ohio 

O k la ho ma 

Oregon 

Pennsylvania 

Rhode Island 



750 
349 
124 
332 

75 



236 
58 
34 

398 
21 



35 

22 
6 

47 




1021 

429 

164 

777 

96 



South Carolina 
South Dakota 
Tennessee 
Texas 
Utah 



125 

39 

237 

1080 

75 



29 
70 
75 
199 
15 



19 

5 

27 

32 

5 



173 

114 

339 

1311 

95 



Vermont 

Virginia 

W ashington 

West Virginia 

W isconsin 

Wyoming 



34 
172 
201 

89 
205 

18 



10 
88 
64 
33 
153 
6 



1 

16 
22 
15 
61 
14 



45 
276 
287 
137 
419 

38 



Source: OSCAR 



37 



Nursing Homes by Ownership 



Table 2 (b). Number of Nursing Homes by Ownership and State: 
United States, 1997 

Ownership 



For-Profit 



Non-Pro fit 



Government 



All Facilities 



Nation 

Alabama 

Alaska 

Arizona 

Arkansas 

California 



11300 

171 

1 

102 

209 

1055 



4816 

30 

9 

58 

42 

305 



1137 

22 

5 

4 

13 

63 



17253 

223 

15 

164 

264 

1423 



C olorado 

C onnecticut 

Delaware 

District of Columbia 

Florida 



141 

203 

20 

7 

555 



62 
55 
20 
13 
155 



22 
2 
4 
2 

16 



225 

260 
44 
22 

726 



G eorgia 
Hawaii 
Idaho 
Illinois 
In d ia n a 



271 

18 

51 

556 

428 



61 

14 

14 

267 

131 



23 
11 
20 
48 
16 



355 

43 

85 

871 

575 



Iowa 

Kansas 

Kentucky 

Louisiana 

Maine 



256 
217 
207 
254 



192 

143 

99 

62 

32 



24 
56 
10 
26 
5 



472 
416 
316 
342 
135 



Maryland 

Massachusetts 

Michigan 

Minnesota 

Mississippi 



147 
409 
280 
146 
137 



100 
142 
121 
240 
35 



15 
43 
64 
31 



255 
566 
444 
450 
203 



Missouri 

M o n ta n a 

Nebraska 

Nevada 

New Hampshire 



374 
37 

107 
35 
43 



150 

46 

76 

4 

26 



50 

20 

54 

8 

13 



574 

103 

237 

47 

82 



New Jersey 
New Mexico 
New York 
North C arolina 
North Dakota 



219 

50 

316 

296 

10 



102 
28 

284 
89 
76 



19 

7 

57 

18 

2 



340 

85 

657 

403 



Ohio 

O k la ho ma 

O regon 

Pennsylvania 

R hode Island 



745 
334 
123 
324 
76 



241 
54 
33 

429 
24 



32 
25 

6 
46 





1018 
413 
162 
799 
100 



South Carolina 
South Dakota 
Tennessee 
Texas 
Utah 



133 

41 

241 

1061 

76 



22 
68 
78 
206 
15 



21 

5 

30 

40 

4 



176 

114 

349 

1307 

95 



Vermont 
Virginia 
W ashing ton 
W est Virginia 
W isconsin 
W yoming 



34 
174 
197 

90 
207 

18 



10 
89 
66 
35 
157 
6 



1 
14 
22 
14 
61 
15 



45 
277 
285 
139 
425 

39 



Source: OSCAR 



38 



Nursing Homes by Ownership 



Table 2 (c). Number of Nursing Homes by Ownership and State: 
United States, 1998 

Ownership 



For-Profit 



N on -Profit 



Government 



All Facilities 



Nation 

Alabama 

Alaska 

Arizona 

Arkansas 

California 



11198 

170 

1 

105 

209 

1049 



4884 

30 

9 

57 

42 

307 



1121 

22 

5 

5 

13 

57 



17203 

222 

15 

167 

264 

1413 



Colorado 

Connecticut 

Delaware 

District of C olumbia 

Florida 



143 

200 

20 

7 

564 



61 
56 
20 
11 
156 



23 
2 
4 
2 

15 



227 

258 
44 
20 

735 



G eorgia 
Hawaii 
Idaho 
Illinois 
In d ia n a 



272 

19 

51 

560 

418 



63 

14 

14 

271 

135 



24 
11 
19 
47 
17 



359 
44 
84 
878 
570 
471 
405 
314 
340 
129 



Iowa 

Kansas 

Kentucky 

Louisiana 

Maine 



250 
209 
203 
250 
92 



197 

139 

101 

64 

32 



24 
57 
10 
26 
5 



Maryland 

Massachusetts 

Michigan 

Minnesota 

Mississippi 



149 
396 
282 
142 
138 



151 

122 

247 

31 



14 
43 
57 
29 



256 
561 
447 
446 
198 



Missouri 

M o n ta n a 

Nebraska 

Nevada 

New Hampshire 



371 
37 

106 
36 

44 



142 
48 
81 

4 
27 



50 
20 
52 
8 
13 



563 

105 

239 

48 

84 



New Jersey 
New Mexico 
New York 
North Carolina 
North Dakota 



219 

48 

317 

298 

10 



120 
26 

287 
91 
76 



19 

7 

57 

16 

2 



358 

81 

661 

405 



Ohio 

O k la horn a 

regon 

Pennsylvania 

Rhode Island 



739 
328 
118 
327 
76 



242 
57 
36 

429 
25 



33 

24 
6 

43 




1014 
409 
160 
799 
101 



South Carolina 

South Dakota 

Tennessee 

Texas 

Utah 



128 

41 

237 

1029 

72 



24 
67 
81 
210 
17 



21 

6 

34 

41 



173 

114 

352 

1280 

93 



Vermont 

Virginia 

W ashington 

West Virginia 

W isconsin 

Wyoming 



31 
176 
195 

93 
205 

18 



12 
89 
67 
36 
155 
6 



1 
11 
22 
14 
62 
16 



276 

284 

143 

422 

40 



Source: OSCAR 



39 



Nursing Homes by Ownership 



Table 2 (d). Number of Nursing Homes by Ownership and State: 
United States. 1999 

Ownership 



For-Profit 



Non-Pro fit 



Government 



All Facilities 



Nation 

Alabama 

Alaska 

Arizona 

Arkansas 

California 



11086 

171 

1 

102 

202 

1036 



4824 

32 

9 

50 

43 

293 



1108 

22 

5 

4 

14 

55 



17018 

225 

15 

156 

259 

1384 



Colorado 

Connecticut 

Delaware 

District of Columbia 

Florida 



146 

197 

19 

6 

565 



58 
58 
20 
12 
160 



23 
2 
4 
2 

14 



227 

257 
43 
20 

739 



G eorgia 
Hawaii 
Idaho 
Illinois 
In d ia n a 



276 

19 

51 

570 

418 



63 

14 

13 

264 

136 



24 
11 
18 
45 
15 



363 

44 

82 

879 

569 



Iowa 

Kansas 

Kentucky 

Louisiana 

Maine 



245 
201 
198 
253 
90 



201 

142 

100 

63 

31 



24 
55 
10 
23 
5 



470 
398 
308 
339 
126 



1 a ry la n d 

lassachusetts 

lichigan 

linnesota 

lississippi 



141 
383 
273 
130 
139 



100 
142 
122 
254 
28 



14 
43 
60 
27 



250 
539 
438 
444 
194 



Missouri 

Montana 

Nebraska 

Nevada 

New Hampshire 



367 
36 

106 
37 
44 



138 

48 

79 

8 

27 



52 
20 
52 
7 
12 



557 

104 

237 

52 

83 



New Jersey 
New Mexico 
New York 
North Carolina 
North Dakota 



223 

49 

315 

298 

11 



121 

27 

290 

92 

74 



19 

6 

55 

17 

4 



363 

82 
660 
407 

89 



Ohio 

k la horn a 

regon 

Pennsylvania 

R hode Island 



732 
329 
113 
327 
76 



241 
55 
32 

412 
25 



33 

22 



1006 
406 
151 
783 
101 



S outh Carolina 

South Dakota 

Tennessee 

Texas 

Utah 



130 
42 

236 

1003 

70 



24 
66 
78 
197 
18 



23 

6 

35 

39 



177 

114 

349 

1239 

92 



Vermont 
V irginia 
Washington 
W est Virginia 
W isconsin 
W yoming 



31 
173 
190 

91 
207 

18 



13 
90 
65 
34 
156 
6 



1 
9 
23 
12 
62 
17 



45 
272 
278 
137 
425 

41 



Source: OSCAR 



40 



Nursing Homes by Ownership 



Table 2 (e). Number of Nursing Homes by Ownership and State: 
United States, 2000 

Ownership 



For-Profit 



Non-Profit 



Government 



All Facilities 



Nation 

Alabama 
Alaska 
Arizona 
Arkansas 
C alifornia 



10999 

174 

1 

102 

203 

1028 



4764 

30 

9 

40 

40 

281 



1084 

22 

5 

3 

12 

54 



16847 

226 

15 

145 

255 

1363 



Colorado 

C onnecticut 

Delaware 

District of Columbia 

Florida 



144 

198 

19 

6 

554 



59 
59 
20 
13 
161 



22 
2 
4 
2 

13 



225 

259 

43 

21 

728 



G eorgia 

Hawaii 

Idaho 

Illinois 

Indiana 



273 

20 

50 

566 

408 



62 

15 

14 

256 

141 



27 
10 
20 
43 
17 



362 

45 

84 

865 

566 



Iowa 

Kansas 

Kentucky 

Louisiana 

Maine 



246 
194 
199 
257 
90 



201 

142 

97 

57 

31 



20 
55 

9 

21 

5 



467 
391 
305 
335 
126 



Maryland 
Massachusetts 
Michigan 
Minnesota 
Mississippi 



143 
370 
274 
123 
140 



101 
141 
120 
251 
29 



9 
14 
43 
58 
23 



253 
525 
437 
432 
192 



Missouri 

M o n ta n a 

Nebraska 

Nevada 

New Hampshire 



354 
37 

106 
37 
44 



147 

48 

79 

8 

27 



51 
19 
51 
6 
12 



552 

104 

236 

51 

83 



New Jersey 
New Mexico 
New York 
North Carolina 
North Dakota 



225 

49 

319 

304 

11 



117 
25 

290 
93 

74 



20 

6 

55 

18 

3 



362 

80 

664 

415 



Ohio 

Oklahoma 
O regon 
Pennsylvania 
Rhode Island 



732 
322 
110 
329 
75 



239 
45 
32 

396 
24 



34 
21 

6 
42 





1005 

388 

148 

767 

99 



South Carolina 
S outh Dakota 
Tennessee 
Texas 
Utah 



131 

41 
238 
979 

72 



25 
67 
82 
191 
17 



22 

6 

31 

37 

4 



178 

114 

351 

1207 

93 



Vermont 
Virginia 
Washington 
West Virginia 
W isconsin 
Wyoming 



29 
176 
190 

90 
199 

18 



13 
92 
64 
34 
159 



1 
10 
23 
14 
63 
16 



43 
278 
277 
138 
421 

40 



Source: OSCAR 



41 



Nursing Homes by Ownership 



Table 2 (f). Number of Nursing Homes by Ownership and State: 
United States, 2001 

Ownership 



For-Profit Non-Profit Government All Facilities 

Nation 10802 4762 1064 16628 

Alabama 176 29 23 228 

Alaska 1 9 5 15 

Arizona 98 40 2 140 

Arkansas 201 39 12 252 

California 1010 276 52 1338 

Colorado 142 ~ 59 22 223 

Connecticut 194 58 2 254 

Delaware 19 19 4 42 

District of Columbia 6 13 2 21 

Florida 540 170 15 725_ 

Georgia 273 ~ 61 28 362 

Hawaii 20 15 10 45 

Idaho 50 14 20 84 

Illinois 562 250 42 854 

Indiana 382 161 16 559 

Iowa '" 243 " 202 ~ ~ 21 466 

Kansas 187 138 54 379 

Kentucky 197 99 7 303 

Louisiana 244 62 21 327 

Maine 87 30 5 122_ 

Maryland ' 141 100 8 249 

Massachusetts 353 142 11 506 

Michigan 272 119 43 434 

Minnesota 118 250 59 427 

Mississippi 14!5 31 26 2£2_ 

Missouri ~ 351 157 40 548 

Montana 37 47 19 103 

Nebraska 106 74 50 230 

Nevada 33 7 6 46 

New Hampshire 44 27 12 83_ 

NewJersey 225 117 20 "" 362 

New Mexico 51 23 6 80 

New York 322 294 52 668 

North Carolina 299 95 19 413 

North Dakota 9 73 4 86_ 

Ohio "~ " ~ 725 ~~~ 241 29 995 

Oklahoma 315 45 19 379 

Oregon 106 33 6 145 

Pennsylvania 334 386 41 761 

Rhode Island 73 24 97_ 

South Carolina 128 26 23 177 

South Dakota 37 69 6 112 

Tennessee 236 80 31 347 

Texas 948 182 37 1167 

Utah 73 16 3 92_ 

Vermont ~ " 29 14 1 44 

Virginia 177 92 11 280 

Washington 185 60 24 269 

West Virginia 91 34 15 140 

Wisconsin 190 155 63 408 

Wyoming 17 5 17 39_ 

Source: OSCAR 

42 



Nursing Homes by Ownership 



Table 3 (a). Number of Nursing Homes by Type of Certification and State: 

United States, 1996 

Type of Certification 

Dually -Certified Medicare Only Medicaid Only All Facilities 



Nation 

Alabama 

Alaska 

Arizona 

Arkansas 

California 



12797 

206 

16 

132 

164 

1,163 



1392 

12 



24 

29 

130 



2994 

5 



2 

74 

122 



17183 

223 

16 

158 

267 

1,415 



C olorado 

Connecticut 

Delaware 

District of Columbia 

Florida 



164 

242 

33 

20 

608 



35 
7 
4 


82 



23 

13 

6 

2 

10 



222 

262 

43 

22 

700 



G eorgia 
Hawaii 
Idaho 
Illinois 
In d ia n a 



290 

36 

72 

511 

433 



12 

1 

8 

89 

47 



55 

6 



261 

96 



357 

43 

80 

861 

576 



Iowa 

Kansas 

Kentucky 

Louisiana 

Maine 



195 
235 
281 
121 
129 



34 

31 

59 

7 



270 

160 


165 




473 
429 
312 
345 
136 



M a ry la n d 

Massachusetts 

Michigan 

Minnesota 

Mississippi 



210 
497 
365 
424 
107 



12 
12 
11 
10 
33 



26 
58 
67 
22 



248 
567 
443 
456 
203 



Missouri 

M o n ta n a 

Nebraska 

Nevada 

New Hampshire 



401 
97 

141 
34 
54 



55 
4 

4 
7 




118 

3 

93 

2 

27 



574 

104 

238 

43 

81 



New Jersey 
New Mexico 
New York 
North Carolina 
North Dakota 



Ohio 

O klahoma 

re g o n 

Pennsylvania 

R hode Island 



243 

66 

655 

386 

84 



19 
8 
1 

10 

4 



730 

149 

125 

628 

96 



82 
39 

3 
119 





70 

12 

3 

4 





209 

241 

36 

30 





332 

86 
659 
400 



1,021 

429 

164 

777 

96 



S outh Carolina 

S outh Dakota 

Tennessee 

Texas 

Utah 



149 

72 

218 

804 

67 



23 

1 

40 

223 

12 



1 

41 

81 

284 

16 



173 

114 

339 

1,311 

95 



Vermont 
Virginia 
W ashington 
West Virginia 
W isconsin 
W yoming 



40 
201 
265 

81 
326 

31 




9 
9 
14 
7 
2 



5 
66 
13 
42 
86 

5 



45 
276 
287 
137 
419 

38 



Source: OSCAR 



43 



Nursing Homes by Type of 
Certification 



Table 3 (b). Number of Nursing Homes by Type of Certification and State: 
United States, 1997 

Type of Certification 



Dually -Certified 



Medicare Only 



Medicaid Only 



All Facilities 



Nation 

Alabama 

Alaska 

Arizona 

Arkansas 

California 



13339 

207 

14 

135 

166 

1,174 



1478 

11 

1 

27 

32 

136 



2436 

5 



2 

66 

113 



17253 

223 

15 

164 

264 

1,423 



C olorado 

Connecticut 

Delaware 

District of Columbia 

Florida 



170 

244 

34 

22 

634 



33 




84 



22 

10 

4 





225 

260 
44 
22 

726 



G eorgia 
Hawaii 
Idaho 
Illinois 
In d ia n a 



304 

37 

77 

548 

452 



12 

1 

8 

92 

53 



39 

5 



231 

70 



355 

43 

85 

871 

575 



Iowa 

Kansas 

Kentucky 

Louisiana 

Maine 



256 
246 
284 
173 
130 



12 
32 
32 
59 
5 



204 
138 


110 





472 
416 
316 
342 
135 



Maryland 

Massachusetts 

Michigan 

Minnesota 

Mississippi 



221 

507 
373 
420 
116 



13 
13 
11 
8 
36 



21 
46 
60 
22 
51 



255 
566 
444 
450 
203 



Missouri 

M o n ta n a 

Nebraska 

Nevada 

New Hampshire 



421 
95 

151 
35 
62 



58 

6 

4 

10 

2 



95 
2 

82 
2 

18 



574 

103 

237 

47 

82 



New Jersey 
New Mexico 
New York 
North Carolina 
North Dakota 



259 

66 

655 

390 



20 

8 

9 
4 



61 

11 

2 

4 





340 

85 

657 

403 



Ohio 

Oklahoma 
O regon 
Pennsylvania 
Rhode Island 



777 
181 
127 
635 
100 



81 

38 

2 

138 





160 

194 

33 

26 





1,018 
413 
162 
799 
100 



South Carolina 
South Dakota 
Tennessee 
Texas 
Utah 



148 

84 

222 

855 

69 



28 

1 

49 

237 

12 





29 

78 

215 

14 



176 

114 

349 

1,307 

95 



Vermont 

Virginia 

Washington 

W est Virginia 

Wisconsin 

Wyoming 



40 
205 
267 

87 
349 

31 




10 

7 
16 
13 

2 



5 
62 
11 
36 
63 

6 



45 
277 
285 
139 
425 

39 



Source: OSCAR 



Nursing Homes by Type of 
Certification 



Table 3 (c). Number of Nursing Homes by Type of Certification and State: 
United States, 1998 

Type of Certification 



Dually-Certified 



Medicare Only 



Medicaid Only 



All Facilities 



Nation 

Alabama 

Alaska 

Arizona 

Arkansas 

California 



13536 

206 

15 

140 

165 

1,181 



1428 

11 



26 

30 

125 



2239 

5 



1 

69 

107 



17203 

222 

15 

167 

264 

1,413 



Colorado 

C onnecticut 

Delaware 

District of Columbia 

Florida 



173 

243 
34 
20 

644 



31 
6 
6 


84 



23 
9 

4 

7 



227 

258 
44 
20 

735 



G eorgia 
Hawaii 
Idaho 
Illinois 
In d ia n a 



309 

39 

74 

562 

451 



13 
1 
10 
90 
54 



37 

4 



226 

65 



359 

44 

84 

878 

570 



Iowa 

Kansas 

Kentucky 

Louisiana 

Maine 



271 
241 
279 
159 
125 



9 
29 
35 

54 
4 



191 
135 


127 





471 
405 
314 
340 
129 



M a ry la n d 

Massachusetts 

Michigan 

Minnesota 

Mississippi 



226 
511 
377 
417 
110 



11 
15 
13 
7 
33 



19 
35 
57 
22 
55 



256 
561 
447 
446 
198 



Missouri 

M o n ta n a 

Nebraska 

Nevada 

New Hampshire 



423 
96 

169 
36 
63 



53 



10 
3 



87 
3 

66 
2 

18 



563 

105 

239 

48 

84 



New Jersey 
New Mexico 
New York 
North Carolina 
North Dakota 



318 

66 

658 

391 

84 



38 

5 



10 

4 



2 

10 

3 

4 




358 

81 

661 

405 



Ohio 

Oklahoma 
O regon 
Pennsylvania 
Rhode Island 



796 
215 
128 
640 
100 



74 

34 

2 

138 

1 



144 

160 

30 

21 





1,014 
409 
160 
799 
101 



South Carolina 
South Dakota 
Tennessee 
Texas 
Utah 



150 

88 

227 

862 

68 



23 

1 

51 

205 

11 





25 

74 

213 

14 



173 

114 

352 

1,280 

93 



Vermont 
Virginia 
Washington 
W est Virginia 
W isconsin 
Wyoming 



38 
210 
264 

93 
350 

31 



3 
11 

9 
19 
13 

3 



3 
55 
11 
31 
59 

6 



44 
276 
284 
143 
422 

40 



Source: OSCAR 



45 



Nursing Homes by Type of 
Certification 



Table 3 (d). Number of Nursing Homes by Type of Certification and State: 
United States, 1999 

Type of Certification 



Dually -Certified 



Medicare Only 



Medicaid Only 



All Facilities 



Nation 

Alabama 

Alaska 

Arizona 

Arkansas 

California 



13533 

212 

15 

133 

163 

1,164 



1305 

8 



22 

29 

115 



2180 

5 



1 

67 

105 



17018 

225 

15 

156 

259 

1,384 



Colorado 

Connecticut 

Delaware 

District of C olumbia 

Florida 



173 

242 

33 

19 

652 



31 
6 
5 


78 



23 
9 
5 
1 
9 



227 

257 

43 

20 

739 



G eorgia 
Hawaii 
Idaho 
Illinois 
In d ia n a 



313 

40 

73 

572 

455 



12 

1 

9 

89 

50 



38 

3 



218 

64 



363 

44 

82 

879 

569 



Iowa 

Kansas 

Kentucky 

Louisiana 

Maine 



283 
239 
277 
158 
124 



10 
28 
31 
49 
2 



177 
131 


132 





470 
398 
308 
339 
126 



Maryland 

Massachusetts 

Michigan 

Minnesota 

Mississippi 



222 
500 
372 
414 
110 



11 
15 
14 
8 
25 



17 
24 
52 
22 
59 



250 
539 
438 
444 
194 



Missouri 

M o n ta n a 

Nebraska 

Nevada 

New Hampshire 



412 
96 

167 
43 
64 



47 
5 
3 
7 
2 



98 
3 

67 
2 

17 



557 

104 

237 

52 

83 



New Jersey 
New Mexico 
New York 
North Carolina 
North Dakota 



324 

65 

657 

393 

85 



38 

6 



10 



1 
11 
3 
4 




363 

82 
660 
407 

89 



Ohio 

Oklahoma 
Oregon 
Pennsylvania 
Rhode Island 



814 
213 
121 
640 
100 



67 

34 

4 

122 

1 



125 

159 

26 

21 





1,006 
406 
151 
783 
101 



South Carolina 
South Dakota 
Tennessee 
Texas 
Utah 



152 

88 

227 

857 

68 



25 

1 

47 

170 

10 





25 

75 

212 

14 



177 

114 

349 

1,239 

92 



Vermont 
Virginia 
Washington 
West Virginia 
W isconsin 
Wyoming 



38 
212 
261 

93 
354 

31 



6 
17 
15 

3 



3 
51 
11 
27 
56 

7 



45 
272 
278 
137 
425 

41 



Source: OSCAR 



46 



Nursing Homes by Type of 
Certification 



Table 3 (e). Number of Nursing Homes by Type of Certification and State: 
United States, 2000 

Type of Certification 



Dually-Certified 



Medicare Only 



Medicaid Only 



All Facilities 



Nation 

Alabama 
Alaska 
Arizona 
Arkansas 
C alifornia 



Colorado 

Connecticut 

Delaware 

District of Columbia 

Florida 



13634 

213 

15 

129 

165 

1,161 



176 

243 

33 

20 

651 



1159 

8 



15 

23 

104 



26 
7 
5 


70 



2054 

5 



1 

67 

98 



23 
9 
5 
1 
7 



16847 

226 

15 

145 

255 

1,363 



225 

259 

43 

21 

728 



G eorgia 

Hawaii 

Idaho 

Illinois 

Indiana 



314 

40 

72 

574 

446 



10 

1 

9 

82 

51 



38 

4 

3 

209 

69 



362 

45 

84 

865 

566 



Iowa 

Kansas 

Kentucky 

Louisiana 

Maine 



290 
242 
279 
188 
124 



13 
19 
26 
47 
2 



164 
130 


100 





467 
391 
305 
335 
126 



M a ry la n d 

Massachusetts 

Michigan 

Minnesota 

Mississippi 



233 
491 
373 
403 
116 



7 
13 
15 

7 
20 



13 

21 
49 
22 
56 



253 

525 
437 
432 
192 



Missouri 

M o n ta n a 

Nebraska 

Nevada 

New Hampshire 



415 
96 

170 
44 
64 



42 
5 
2 
5 
3 



95 
3 

64 
2 

16 



552 

104 

236 

51 

83 



New Jersey 
New Mexico 
New York 
North Carolina 
North Dakota 



329 

63 

661 

399 

84 



32 
6 


12 
4 



1 
11 
3 
4 




362 

80 

664 

415 



Ohio 

O klahoma 

regon 

Pennsylvania 

Rhode Island 



824 
213 
117 
637 



64 
25 

5 
111 

1 



117 

150 

26 

19 





1,005 

388 

148 

767 

99 



South Carolina 
South Dakota 
Tennessee 
Texas 
Utah 



152 

88 

239 

872 

70 



26 

1 

39 

139 

11 





25 

73 

196 

12 



178 

114 

351 

1,207 

93 



Vermont 

Virginia 

W ashington 

W est Virginia 

W isconsin 

Wyoming 



41 
218 
264 

96 
358 

31 



1 
12 

2 
16 
12 

3 



1 
48 
11 
26 
51 

6 



43 
278 
277 
138 
421 

40 



Source: OSCAR 



47 



Nursing Homes by 
Type of Certification 



Table 3 (f). Number of Nursing Homes by Type of Certification and State: 
United States, 2001 

Type of Certification 



Dually -Certified 



Medicare Only 



Medicaid Only 



All Facilities 



Nation 

Alabama 

Alaska 

Arizona 

Arkansas 

California 



Colorado 

Connecticut 

Delaware 

District of Columbia 

Florida 



13631 

214 

15 

122 

172 

1,147 



174 

238 

32 

20 

648 



1063 

9 



17 

21 

94 



27 
7 
5 


58 



1933 

5 



1 

59 

97 



22 
9 
5 
1 

19 



16627 

228 

15 

140 

252 

1,338 



223 

254 
42 
21 

725 



G eorgia 
Hawaii 
Idaho 
Illinois 
In d ia n a 



317 

40 

72 

583 

449 



12 

1 

9 

72 

49 



33 

4 

3 

198 

61 



362 

45 

84 

853 

559 



Iowa 

Kansas 

Kentucky 

Louisiana 

Maine 



301 
234 
277 
209 
122 



10 
16 
26 
39 




155 

129 



79 





379 
303 

327 
122 



Maryland 

Massachusetts 

Michigan 

Minnesota 

Mississippi 



227 
473 
374 
399 
128 



14 

15 

7 

19 



14 
19 
45 
21 
55 



249 
506 
434 
427 
202 



Missouri 

M o n ta n a 

Nebraska 

Nevada 

New Hampshire 



423 
96 

170 
39 

64 



33 
5 

5 
3 



92 
2 

60 
2 

16 



548 

103 

230 

46 

83 



New Jersey 
New Mexico 
New York 
North Carolina 
North Dakota 



328 

64 

665 

396 

82 



32 
6 


13 

4 



2 
10 
3 
4 




362 

80 

668 

413 

86 



Ohio 

klahoma 

Oregon 

Pennsylvania 

Rhode Island 



841 
206 
117 
632 
95 



59 

25 

4 

109 

1 



95 

148 

24 

20 

1 



995 
379 
145 
761 
97 



South Carolina 
South Dakota 
Tennessee 
Texas 
Utah 



154 

86 

250 

865 

70 



23 

1 

28 

119 

11 





25 

69 

183 

11 



177 

112 

347 

1,167 

92 



Vermont 
Virginia 
Washington 
West Virginia 
W isconsin 
W yoming 



42 
224 
254 

99 
351 

31 



1 
13 

3 
16 
12 

2 



1 
43 
12 
25 
45 



44 
280 
269 
140 
408 

39 



Source: OSCAR 



48 



Nursing Homes by 
Type of Certification 



Table 4. Nursing Home Occupancy Rates by State: United States, 1996-2001 



1996 



1997 



1998 



1999 



2000 



2001 



Nation 

Alabama 

Alaska 

Arizona 

Arkansas 

California 



84.8 

91.8 
75.5 
79.6 
81.2 
81.9 



83.9 

91.9 
76.5 
77.9 
79.8 
80.9 



83.4 

92.4 
76.3 
76.9 
77.2 
81.4 



82.7 

92.7 
73.7 
75.5 
76.8 
81.2 



82.4 

92.1 
69.8 
77.8 
74.6 
80.8 



82.5 

91.4 
71.3 
79.9 
73.8 
81.3 



Colorado 

Connecticut 

Delaware 

District of Columbia 

Florida 



86.9 
93.3 
82.5 
88.6 
84.2 



83.6 
92.0 
77.6 
94.3 
83.6 



83.3 
92.0 
74.4 
95.3 
82.6 



83.3 
91.0 
75.7 
93.3 
82.2 



84.5 
91.4 
80.7 
91.8 
83.1 



83.7 
92.5 
83.2 
90.6 
83.7 



G eorgia 
Hawaii 
Idaho 
Illinois 
In d ia n a 



93.3 
85.0 
80.7 
78.7 
73.6 



91.9 
91.4 
74.9 
78.5 
71.8 



92.1 
92.5 
75.1 
77.8 
71.1 



91.3 
91.7 
73.6 
75.9 
75.7 



91.8 
89.2 
73.9 
75.2 
74.3 



91.4 
91.5 
75.6 
75.5 
75.5 



Iowa 

Kansas 

Kentucky 

Louisiana 

Maine 



80.5 
82.3 
88.4 
82.4 
89.0 



80.3 
80.9 
88.6 
80.9 
88.4 



79.9 
81.4 
89.3 
79.7 
87.2 



78.9 
81.2 
89.8 
78.3 
89.9 



79.5 

80.9 
89.4 
77.9 
88.1 



78.0 
80.0 
89.9 
77.3 
89.4 



M a ry la n d 

Massachusetts 

Michigan 

Minnesota 

Mississippi 



86.5 
88.8 
86.3 
92.4 
93.7 



83.9 
89.2 
86.0 
92.4 
93.6 



83.0 
89.3 
85.3 
90.6 
92.8 



81.9 
88.6 
84.8 
89.8 
94.1 



81.5 
89.5 
84.0 
93.1 
92.5 



83.2 
89.1 
83.9 
93.5 
89.8 



Missouri 

M o n ta n a 

Nebraska 

Nevada 

New Hampshire 



73.9 
87.1 
87.4 
87.9 
91.8 



73.0 
83.3 
85.7 
89.5 
90.6 



72.7 
82.0 

84.1 
83.6 
92.2 



71.1 
79.4 
83.4 
64.9 
91.8 



69.7 
78.1 
83.3 
71.0 
91.6 



69.4 
77.4 
83.1 
81.9 
89.9 



New Jersey 
New Mexico 
New York 
North Carolina 
North Dakota 



92.4 
84.5 
95.0 
93.2 
95.4 



91.6 
85.0 
94.5 
93.7 
93.9 



90.7 
84.3 
95.3 
92.0 
94.0 



89.9 
88.4 
93.8 
89.3 
91.6 



87.6 
88.2 
94.1 
88.1 
91.1 



85.9 
87.6 
93.8 
87.6 
93.8 



Ohio 

Oklahoma 
Oregon 
Pennsylvania 
Rhode Island 



80.2 
76.5 
80.9 
90.3 
93.5 



79.6 
74.1 
80.0 
90.3 
91.6 



79.5 
71.8 
78.6 
89.8 
89.9 



78.5 
71.0 
75.9 
88.5 
88.6 



77.6 
69.8 
74.0 
88.1 
87.8 



77.4 
68.7 
72.2 
87.4 
88.1 



South Carolina 

South Dakota 

Tennessee 

Texas 

Utah 



87.3 
94.3 
90.7 
71.2 
83.0 



87.0 
94.0 
89.7 
69.5 
77.9 



85.8 
92.0 
89.8 
68.1 

77.4 



85.9 
92.1 
90.1 
68.2 
76.4 



87.2 
90.5 
89.8 

68.1 
74.1 



89.2 
92.1 
89.0 
70.0 
72.2 



Vermont 
Virginia 
Washington 
W est Virginia 
W isconsin 
W yoming 



94.8 
92.1 
85.0 
93.9 
90.6 
83.5 



93.7 
90.3 
82.3 
92.1 
88.0 
84.0 



90.1 
90.1 
82.4 
91.0 
87.3 
83.4 



91.0 
89.5 
81.2 
89.4 
84.9 
82.2 



89.3 
88.4 
81.7 
90.3 
83.8 
83.6 



89.4 
86.4 
82.7 
90.6 
84.6 
82.5 



Source: OSCAR 



49 



Nursing Homes by 
Occupancy Rate 



Table 5. Medicare- and Medicaid-Certified Nursing Home Beds per Thousand 
Residents by Age group and State: 2001 



Beds Per 1000 


Beds Per 1000 


Beds Per 1000 


State Residents: 


State Residents: 


State Residents: 


All Aaes 


Aae65 + 


Aae85 + 



Alabama 

Alaska 

Arizona 

Arkansas 

California 



5.8 
1.2 

3.5 
9.6 
3.6 



44.3 
21.2 
26.5 
67.8 
32.8 



387.1 
304.0 
252.7 
550.9 
281.8 



Colorado 

Connecticut 

Delaware 

District of Columbia 

Florida 



4.8 
9.6 
5.4 
5.7 
5.3 



48.0 
67.1 
41.1 
40.7 
29.2 



410.9 
497.1 
397.9 
318.1 
250.0 



Georgia 

Hawaii 

Idaho 

Illinois 

Indiana 



5.1 
3.3 

4.9 
8.0 
9.2 



51.8 
24.5 
43.3 
65.1 
73.8 



461.9 
229.1 
343.0 
506.2 
607.3 



Iowa 

Kansas 

Kentucky 

Louisiana 

Maine 



11.9 
9.0 
6.2 
8.6 
6.2 



79.7 
67.2 
49.7 
74.8 
44.3 



529.8 
460.6 
426.8 
670.5 
350.1 



Maryland 

Massachusetts 

Michigan 

Minnesota 

Mississippi 



5.6 
8.7 
4.8 
8.5 
6.2 



48.2 
62.7 
39.1 
69.7 
50.7 



432.5 
467.4 
331.3 
482.9 
413.8 



Missouri 

Montana 

Nebraska 

Nevada 

New Hampshire 



8.9 
8.6 
10.1 
3.0 
6.5 



65.1 
64.4 
73.5 
26.5 
53.9 



494.7 
492.9 
488.8 
335.6 
436.1 



New Jersey 
New Mexico 
New York 
North Carolina 
North Dakota 



Ohio 

Oklahoma 
Oregon 
Pennsyvania 
Rhode Island 



6.2 
3.8 
6.5 
5.3 
10.9 



8.2 
9.6 
3.8 
7.6 
10.1 



45.9 
32.8 
48.5 
42.7 
74.9 



61.6 
71.8 
29.0 
48.1 
65.0 



381.3 
303.3 
380.0 
389.2 



524.2 
562.8 
224.0 
393.1 

475.1 



South Carolina 
South Dakota 
Tennesee 
Texas 
Utah 



4.3 
10.4 
6.8 
5.4 
3.5 



35.5 

72.3 
55.0 
53.4 
40.4 



359.2 
479.2 
475.0 
461.2 
348.6 



Vermont 

Virginia 

Washington 

West Virginia 

Wisconsin 

Wyoming 



6.2 
4.3 
4.3 
6.0 
8.5 
6.4 



50.8 
37.7 
37.6 
39.7 
64.5 
55.5 



382.1 
348.1 
299.6 
339.2 

470.8 
477.6 



Source: Oscar & U.S. Census 

No similar data available for 2000/Denominator is residents 



in state, not nursing homes. 

50 



Certified Beds per 
Thousand Residents 



Table 7. Nursing Home Residents by Sex and Type of Nursing Home: United States, 1999-2001. 







1999 






2000 






2001 








Percent of Residents 




Percent of Residents 




Percent of Residents 




Residents 


Male 


Female 


Residents 


Male 


Female 


Residents 


Male 


Female 


lation 


2,927,152 


30.9 


67.5 


2,975,209 


31.7 


68.3 


3,026,529 


32.0 


68.0 


Ownership 




















For-Profit 


1,816,646 


31.8 


68.2 


1,861,268 


32.2 


67.8 


1,902,027 


32.7 


67.3 


Voluntary Non-Profit 


931,264 


29.8 


70.2 


934,523 


29.9 


70.1 


947,120 


30.0 


70.0 


Government 


179,242 


35.0 


65.0 


179,418 


35.2 


64.8 


177,382 


35.5 


64.5 


Certification 




















Medicare and Medicaid 


2,465,048 


31.1 


68.9 


2,510,797 


31.4 


68.6 


2,580,419 


31.7 


68.3 


Medicare only 


298,297 


34.7 


65.3 


302,577 


34.9 


65.5 


283,425 


34.6 


65.4 


Medicaid only 


163,807 


30.5 


69.5 


161,835 


30.7 


69.3 


162,685 


32.2 


67.8 


Bed Size 




















Less than 50 


348,988 


34.2 


65.8 


353,267 


34.1 


65.9 


369,218 


34.3 


65.7 


50-99 


642,362 


30.4 


69.6 


648,855 


30.5 


69.5 


665,625 


30.8 


69.2 


100 - 199 


1,439,444 


30.7 


69.3 


1,473,851 


31.1 


68.9 


1,514,324 


31.5 


68.5 


200 or more 


496,358 


32.7 


67.3 


499,236 


33.2 


66.8 


477,362 


33.5 


66.5 



Source: MDS and OSCAR 



51 



Nursing Home Residents 

by Home Type, 

Resident Sex 



Table 9. Nursing Home Residents by Age Group and Type of Nursing Home: 
United States, 1999-2001 



1999 








Percent of Residents 














Age Groups 










Residents 


0-30 


31-64 


65-74 


74-84 


85-94 


95 + 


Nation 


2,927,152 


0.7 


9.3 


14.9 


34.5 


34.1 


6.5 


Ownership 
















For-Profit 


1,816,646 


0.7 


9.5 


14.5 


34.4 


34.5 


6.4 


Voluntary non-profit 


931,264 


0.7 


7.4 


14.9 


34.9 


35.2 


7.0 


Government 


179,242 


1.0 


11.8 


15.1 


33.4 


32.3 


6.2 


Certification 
















Medicare and Medicaid 


2,465,048 


0.6 


8.8 


14.1 


34.3 


35.4 


6.9 


Medicare only 


298,297 


0.7 


8.5 


21.4 


39.7 


26.4 


3.3 


Medicaid only 


163,807 


1.9 


12.1 


11.2 


28.7 


37.5 


8.7 


Bed Size 
















Less than 50 


348,988 


1.0 


9.7 


20.9 


38.1 


26.6 


3.7 


50-99 


642,362 


0.7 


8.0 


12.9 


33.2 


37.4 


7.8 


100 - 199 


1,439,444 


0.7 


8.4 


13.8 


34.6 


35.8 


6.8 


200 or more 


496,358 


0.8 


11.3 


15.0 


33.5 


33.0 


6.4 




2000 








Percent of Residents 














Age Groups 










Residents 


0-30 


31-64 


65-74 


74-84 


85-94 


95 + 


Nation 


2,975,209 


0.7 


9.7 


14.7 


34.6 


33.9 


6.5 


Ownership 
















For-Profit 


1,861,268 


0.6 


10.1 


14.6 


34.5 


33.8 


6.3 


Voluntary non-profit 


934,523 


0.6 


7.6 


14.6 


35.0 


35.2 


7.0 


Government 


179,418 


1.0 


12.2 


14.8 


33.5 


32.3 


6.3 


Certification 
















Medicare and Medicaid 


2,510,797 


0.6 


9.3 


14.1 


34.4 


34.9 


6.8 


Medicare only 


302,577 


0.6 


8.7 


20.9 


39.8 


26.8 


3.2 


Medicaid only 


161,835 


1.8 


12.6 


11.2 


28.7 


37.0 


8.8 


Bed Size 
















Less than 50 


353,267 


0.8 


10.0 


20.6 


38.1 


26.7 


3.8 


50-99 


648,855 


0.6 


8.3 


12.8 


33.3 


37.2 


7.7 


100 - 199 


1,473,851 


0.6 


8.9 


13.8 


34.7 


35.2 


6.7 


200 or more 


499,236 


0.7 


12.0 


15.0 


33.6 


32.4 


6.3 




2001 








Percent of Residents 














Age Groups 










Residents 


0-30 


31-64 


65-74 


74-84 


85-94 


95 + 


Nation 


3,026,529 


0.6 


10.1 


14.6 


34.6 


33.7 


6.4 


Ownership 
















For-Profit 


1,902,027 


0.6 


10.9 


14.7 


34.5 


33.2 


6.1 


Voluntary non-profit 


947,120 


0.6 


7.8 


14.4 


34.9 


35.2 


7.1 


Government 


177,382 


0.9 


12.3 


14.8 


33.8 


32.1 


6.2 


Certification 
















Medicare and Medicaid 


2,580,419 


0.5 


9.9 


14.2 


34.4 


34.4 


6.6 


Medicare only 


283,425 


0.5 


8.7 


20.5 


40.2 


26.8 


3.3 


Medicaid only 


162,685 


2.0 


14.3 


11.2 


28.2 


35.8 


8.6 


Bed Size 
















Less than 50 


369,218 


0.8 


10.2 


20.7 


38.3 


26.4 


3.7 


50-99 


665,625 


0.6 


8.9 


12.8 


33.3 


36.8 


7.6 


100 - 199 


1,514,324 


0.5 


9.6 


14.0 


34.8 


34.6 


6.6 


200 or more 


477,362 


0.7 


12.9 


14.4 


33.0 


32.6 


6.4 



Source: MDS and OSCAR 



52 



Residents by Age and Facility Type 



Table 11. Nursing Home Residents by Race and Nursing Home Ownership Type: 
United States, 1999-2001. 

1999 



Percent of Residents 

American 
Indian/Alaskan Asian/Pacific Black, not 

Residents Native Islander Hispanic origin 



Hispanic 



White, not 
Hispanic origin 



Nation 



2,927,152 



0.5 



1.0 



10.0 



2.9 



85.6 



Ownership 
For-Profit 

Voluntary Non-Profit 
Government 

Certification 
Medicare and Medicaid 
Medicare only 
Medicaid only 

Bed Size 
Less than 50 
50-99 
100 - 199 
200 or more 



1,816,646 
931,264 
179,242 



2,465,048 
298,297 
163,807 

348,988 

642,362 

1,439,444 

496,358 



0.5 
0.5 
0.5 



0.5 

0.3 
0.7 



0.5 

0.7 
0.4 
0.4 



1.0 
0.9 
1.1 



1.1 
0.4 
0.5 



0.9 

1.1 
0.8 
1.3 



11.0 
7.6 
9.4 



10.0 

7.5 

10.8 



7.6 

7.0 

9.9 

14.8 



3.3 

2.1 
2.1 



2.9 
2.9 
2.0 



3.0 

3.0 
2.5 
3.5 



84.2 
89.0 
86.9 



85.5 
88.8 
85.9 

87.9 
88.2 
86.4 
79.9 



2000 



Percent of Residents 







American 




Black,not 




White, not 






Indian/Alaskan 


Asian/Pacific 


Hispanic 




Hispanic 




Residents 


Native 


Islander 


origin 


Hispanic 


origin 


ation 


2,975,209 


0.4 


1.1 


10.2 


3.1 


85.2 


Ownership 














For-Profit 


1,861,268 


0.4 


1.1 


11.3 


3.5 


83.7 


Voluntary Non-Profit 


934,523 


0.4 


0.9 


7.8 


2.2 


88.6 


Government 


179,418 


0.5 


1.1 


9.6 


2.2 


86.5 


Certification 














Medicare and Medicaid 


2,510,797 


0.4 


1.1 


10.3 


3.1 


85.0 


Medicare only 


302,577 


0.2 


0.5 


7.5 


3.2 


88.6 


Medicaid only 


161,835 


0.7 


0.6 


11.1 


2.0 


85.5 


Bed Size 














Less than 50 


353,267 


0.5 


1.0 


7.6 


3.1 


87.8 


50-99 


648,855 


0.6 


1.2 


7.2 


3.2 


87.8 


100 - 199 


1,473,851 


0.4 


0.9 


10.2 


2.7 


85.9 


200 or more 


499,236 


0.4 


1.4 


15.3 


3.8 


79.2 




2001 






Percent of Residents 








American 






Hispanic 








Indian/Alaskan 


Asian/Pacific 


Black, not 




White, not 




Residents 


Native 


Islander 


Hispanic origin 




Hispanic origin 


ation 


3,026,529 


0.4 


1.1 


10.4 


3.2 


84.8 


Ownership 














For-Profit 


1,902,027 


0.4 


1.2 


11.7 


3.7 


83.1 


Voluntary Non-Profit 


947,120 


0.4 


0.9 


8.1 


2.2 


88.4 


Government 


177,382 


0.5 


1.2 


9.5 


2.2 


86.7 


Certification 














Medicare and Medicaid 


2,580,419 


0.4 


1.2 


10.7 


3.2 


84.4 


Medicare only 


283,425 


0.2 


0.5 


7.5 


2.4 


89.4 


Medicaid only 


162,685 


0.8 


0.9 


10.4 


2.9 


85.0 


Bed Size 














Less than 50 


369,218 


0.5 


1.0 


7.4 


2.9 


88.3 


50-99 


665,625 


0.6 


1.3 


7.5 


3.1 


87.5 


100 - 199 


1,514,324 


0.4 


0.9 


10.5 


2.9 


85.3 


200 or more 


477,362 


0.3 


1.5 


16.4 


4.2 


77.6 



Source: MDS and OSCAR 



53 



Residents by Race 
& Home Ownership 






Characteristics of Nursing 
Home Residents 



54 



Characteristics of Nursing Home 
Residents 



More than 3 million individuals resided in our nation's 
nursing homes during some or all of 2001. 

Table 5(a) 



Sex 



In 2001, 68% of nursing home residents were female. 
There has been a steady decrease in the ratio of 
female to male residents over the period, 1998 to 
2001. 

Figure 9; Tables 5(a), 7, and 8 

The female-to-male ratio is lowest in government- 
owned facilities (1.8:1), Medicare-only facilities, and in 
facilities with fewer than 50 beds. 

Table 7 (2001) 

The female-to-male ratio of nursing home residents is 
quite variable among States. Alabama has the highest 
ratio (2.6:1 in 2001), while Alaska has the lowest 
(1.4:1). 

Table 8 



Age 



■ In 2001, 75 percent all nursing home residents were 
75 years of age or older. However, more than 10% of 
nursing home residents were under the age of 65. 

Figure 10; Tables 5(a), 9 and 10(a)-10(c) 

Technical Notes: 

The sources of these data are the Minimum Data Set (MDS) 
and CMS's Online Survey Certification and Reporting 
(OSCAR) System. MDS data are primarily clinical in nature 
and are collected and reported by nursing homes. OSCAR is 
an administrative database that captures data about the 
survey and certification process. Data from OSCAR are a 
combination of self-reported data from nursing facilities and 
compliance data gathered by survey teams. 



Residents under the age of 65 are more likely to be in 
facilities with more than 200 beds than in smaller 
facilities. 

Tables 5(a) and 9 

Nursing homes on the west coast and in the southwest 
have lower percentages of residents age 65 years and 
older, on average, than did nursing homes in other 
regions. Nursing homes in north-central states have 
higher percentages of residents age 65 years and 
older. 

Figure 11, Table 10 

Hawaii, Iowa, Kansas, Minnesota, Nebraska, North 
Dakota, South Dakota, Vermont and Wisconsin have 
the highest proportions of residents age 95 years and 
older. Alaska, California, Illinois, and Louisiana have 
the highest proportion of nursing home residents 
under the age of 65. 

Table 10(c) 



Race 



Over 20 percent of the population of nursing homes 
with 200 or more beds consist of non-white residents, 
while minority groups account for less than 15 percent 
of the population of smaller nursing homes. 

Figure 13, Tables 5(a) and 11 (2001) 

For analyses dependent on resident-specific (MDS) data 
only, we include every qualifying assessment regardless of 
whether the facility from which it originates has an 
identifiable record in OSCAR. However, where resident- 
specific data are summarized by OSCAR facility-level data 
(ownership, certification, bed size category, or chain 
affiliation), we exclude every MDS assessment from a 
nursing home 1) that does not have an identifiable record in 
OSCAR, or 2) for which the facility-level data are missing or 
invalid in the OSCAR record for that nursing home. 



55 



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Table 5(a). Characteristics of Nursing Home Residents in the United States, 2001 





All Residents 


Facility Ownership 


Bed Size 




Resident 
Characteristic 


Number Percent 


For-profit Nonprofit Government 


<50 50-99 100-199 


200 & up 


Number 


3,026,529 


1,902,027 947,120 177,382 


369,218 665,625 1,514,324 


477,362 


Percent 


100.0 


62.8 31.3 5.9 


12.2 22.0 50.0 


15.8 



Sex 



Number and Percent of Nursing Home Residents by Sex 



Male 
Female 



Age in Years 
30 and U nder 
31-64 
65-74 
75-84 
85-94 
95 and Older 



983,792 
2,082,702 

18,500 

303,000 

441,600 

1,046,900 

1,021,800 

194,600 



32.1 
67.9 



32.7 
67.3 



30 

70 



35.2 
64.5 



34.3 
65.7 



30.8 
69.2 



31.5 
68.5 



Number and Percent of Nursing Home Residents by Age 



0.6 
10.0 
14.6 
34.6 
33.8 

6.4 



0.6 


0.6 


10.2 


7.9 


14.7 


14.4 


34.5 


34.9 


33.2 


35.2 


6.2 


7.0 



0.9 
12.3 
14.8 
33.8 
35.2 

6.2 



0.8 
10.2 
20.7 
38.3 
26.4 

3.7 



0.6 

8.9 

12.8 

33.3 

36.8 

7.6 



0.6 

9.6 

14.0 

34.8 

34.6 

6.6 



Race 
American 
Indian /Alaskan 
Native 



12,800 0.4 



0.4 



0.4 



0.5 



0.5 0.6 



0.4 



33.5 
66.5 



0.7 
12.9 
14.4 
33.0 
32.6 

6.4 



Number and Percent of Nursing Home Residents by Race 



0.3 



Asian /Pacific 
Islander 


34,000 


1.1 


1.2 


0.9 


1.2 


1.0 


1.3 


0.9 


1.5 


Black, not of 
Hispanic origin 


320,300 


10.4 


11.7 


8.1 


9.5 


7.4 


7.5 


10.5 


16.4 


Hispanic 


98,600 


3.2 


3.7 


2.2 


2.2 


2.9 


3.1 


2.9 


4.2 


White, not of 
H ispanic origin 


2,603,000 


84.8 




83.1 


88.4 


86.7 




88.3 


87.5 


85.3 


77.6 





Number of ADL 

Impairments 

1 
2 
3 
4 



1,134,100 
304,200 
281,700 
321,000 
554,400 
611,500 



34.8 

9.4 

8.7 

9.9 

18.2 

18.9 



Number and Percent of Nursing Home Residents by ADL 

34.7 
8.9 



34.4 


35.9 


8.6 


10.9 


8.5 


9.1 


10.0 


9.7 


18.7 


17.8 


19.9 


16.7 



33.0 

9.9 

8.8 

9.9 

17.0 

21.3 



42.4 
13.5 
8.7 
8.3 
15.2 
12.0 



9.7 
18.7 
19.6 



Impairments 

33.6 
8.8 
8.7 
10.0 
19.0 
19.9 



Source: OSCAR and MDS 

Population data may vary due to slight differences in selection criteria/rounding. 



32.3 
8.6 

9.1 
11.1 
17.9 
21.0 



Cognitive 






















Performance 
























Scale 






Number a 


nd Percent of N 


ursing Home 


Residents by CPS S 


core 







925,300 


28.5 




25.0 


35.9 




25.8 


52.2 


24.7 


25.3 


23.9 


1 


405,400 


12.5 




12.9 


11.7 




12.5 


11.7 


12.8 


12.5 


12.6 


2 


433,000 


13.3 




13.7 


12.9 




12.2 


10.6 


13.8 


13.7 


13.5 


3 


750,700 


23.0 




24.3 


20.5 




23.4 


13.3 


24.8 


24.5 


24.3 


4 


227,500 


7.0 




7.7 


5.6 




6.8 


3.0 


7.1 


7.5 


8.6 


5 


211,900 


6.5 




6.8 


5.8 




7.5 


3.7 


7.3 


6.9 


6.4 


6 


295,900 


9.1 




9.6 


7.5 




11.8 


4.6 


9.4 


9.6 


10.8 



61 



Nursing Home Resident 
Characteristics 



Table 5(b) 1. Nursing Home Residents by Race, Sex and Age by State, 2001 



State 



Race/Sex 



Age 
<30 



Age 
30-64 



Age 
65-74 



Age 
75 -84 



Age 
> 84 



Total 



Alabama 



Arizona 



All 0.8% 

Asian Female 0.096 

Asian Male 0.096 

Black Female 0.196 

Black Male 0.196 

Hispanic Female 0.096 

Hispanic Male 0.096 

Native American Female 0.096 

Native American Male 0.096 

White Female 0.396 

White Male 0.396 



7.496 
0.096 
0.096 
1.196 
1.496 
0.096 
0.096 
0.096 
0.096 
2.696 
2.396 



15.496 
0.096 
0.096 
2.396 
1.796 
0.096 
0.096 
0.096 
0.096 
7.396 
4.196 



35.796 
0.096 
0.096 
4.696 
2.096 
0.096 
0.096 
0.096 
0.096 

21.696 
7.496 



All 0.896 

Asian Female 0.096 

Asian Male 0.096 

Black Female 0.096 

Black Male 0.096 

Hispanic Female 0.096 

Hispanic Male 0.196 

Native American Female 0.096 

Native American Male 0.196 

White Female 0.396 

White Male 0.396 



11.996 
0.096 
0.096 
0.396 
0.496 
0.796 
1.196 
0.496 
0.796 
4.096 
4.396 



16.896 
0.196 
0.196 
0.396 
0.296 
0.996 
0.996 
0.496 
0.396 
8.196 
5.796 



35.996 
0.196 
0.096 
0.496 
0.296 
1.396 
1.096 
0.596 
0.396 
20.496 
11.796 



40.796 
0.096 
0.096 
5.596 
1.596 
0.096 
0.096 
0.096 
0.096 

27.796 
5.896 



34.696 
0.196 
0.196 
0.496 
0.296 
1.496 
0.696 
0.496 
0.296 

23.796 
7.696 



100.096 

0.096 

0.096 

13.696 

6.796 

0.196 

0.096 

0.196 

0.096 

59.596 

19.996 



Alaska All 1.496 21.796 23.296 32.296 21.596 100.096 

Asian Female 0.096 0.296 0.196 1.196 0.296 1.696 

Asian Male 0.096 0.296 0.696 0.596 0.596 1.796 

Black Female 0.096 0.496 0.796 0.596 0.496 2.096 

Black Male 0.296 0.896 0.396 0.696 0.096 1.896 

Hispanic Female 0.096 0.296 0.096 0.296 0.296 0.696 

Hispanic Male 0.096 0.296 0.096 0.096 0.196 0.296 

Native American Female 0.396 2.796 2.896 4.396 3.096 13.196 

Native American Male 0.496 2.296 2.896 2.096 1.496 8.896 

White Female 0.096 7.096 8.996 13.896 11.296 40.896 

White Male 0.696 8.196 7.096 9.496 4.596 29.596 



100.096 
0.396 
0.296 
1.496 
1.096 
4.296 
3.696 
1.896 
1.696 
56.396 
29.696 



Arkansas All 0.596 

Asian Female 0.096 

Asian Male 0.096 

Black Female 0.196 

Black Male 0.096 

Hispanic Female 0.096 

Hispanic Male 0.096 

Native American Female 0.096 

Native American Male 0.096 

White Female 0.296 

White Male 0.296 



10.096 
0.096 
0.096 
1.096 
1.296 
0.096 
0.096 
0.096 
0.096 
3.996 
3.896 



15.396 
0.096 
0.096 
1.496 
1.296 
0.096 
0.096 
0.196 
0.096 
7.696 
4.996 



34.996 
0.096 
0.096 
2.696 
1.596 
0.096 
0.096 
0.196 
0.196 

21.296 
9.496 



39.496 
0.096 
0.096 
3.596 
1.396 
0.196 
0.096 
0.196 
0.096 

27.396 
7.096 



100.096 
0.196 
0.096 
8.596 
5.296 
0.196 
0.196 
0.396 
0.196 
60.296 
25.396 



62 



Certified Beds per 
Thousand Residents 



Table 5(b) 2. Nursing Home Residents by Race, Sex and Age by State, 2001 







Age 


Age 


Age 


Age 


Age 




State 


Race/Sex 


<30 


30-64 


65-74 


75 -84 


> 84 


Total 


California 


All 


1.19b 


12.196 


16.296 


34.896 


35.896 


100.096 




Asian Female 


0.096 


0.396 


0.696 


1.296 


1.196 


3.396 




Asian Male 


0.1% 


0.496 


0.596 


0.896 


0.696 


2.396 




Black Female 


0.196 


0.896 


0.996 


1.596 


1.596 


4.896 




Black Male 


0.196 


1.096 


0.796 


0.896 


0.496 


3.196 




Hispanic Female 


0.196 


0.796 


1.096 


1.696 


1.696 


5.096 




Hispanic Male 


0.296 


1.296 


1.096 


1.196 


0.696 


4.196 




Native American Female 


0.096 


0.096 


0.096 


0.196 


0.196 


0.296 




Native American Male 


0.096 


0.196 


0.096 


0.196 


0.096 


0.296 




White Female 


0.396 


3.796 


6.896 


18.296 


23.396 


52.396 




White Male 


0.396 


3.996 


4.796 


9.496 


6.796 


24.996 


Colorado 


All 


0.596 


10.396 


14.496 


34.496 


40.596 


100.096 




Asian Female 


0.096 


0.196 


0.196 


0.296 


0.196 


0.496 




Asian Male 


0.096 


0.096 


0.196 


0.196 


0.096 


0.296 




Black Female 


0.096 


0.396 


0.496 


0.696 


0.696 


1.996 


■ 


Black Male 


0.096 


0.496 


0.296 


0.396 


0.196 


1.096 




Hispanic Female 


0.096 


0.496 


0.696 


1.296 


1.596 


3.796 




Hispanic Male 


0.196 


0.896 


0.796 


0.996 


0.696 


3.196 




Native American Female 


0.096 


0.196 


0.096 


0.196 


0.196 


0.296 




Native American Male 


0.096 


0.196 


0.096 


0.196 


0.096 


0.296 




White Female 


0.296 


3.996 


7.396 


20.896 


29.296 


61.496 




White Male 


0.296 


4.296 


5.096 


10.296 


8.396 


27.996 


Connecticut 


All 


0.596 


8.796 


15.296 


35.896 


39.896 


100.096 




Asian Female 


0.096 


0.096 


0.096 


0.196 


0.096 


0.196 




Asian Male 


0.096 


0.096 


0.096 


0.096 


0.096 


0.196 




Black Female 


0.096 


0.696 


0.696 


1.096 


0.996 


3.196 




Black Male 


0.096 


0.796 


0.596 


0.696 


0.396 


2.196 




Hispanic Female 


0.096 


0.396 


0.296 


0.396 


0.396 


1.196 




Hispanic Male 


0.096 


0.496 


0.396 


0.296 


0.196 


1.096 




Native American Female 


0.096 


0.096 


0.096 


0.196 


0.196 


0.196 




Native American Male 


0.096 


0.096 


0.096 


0.096 


0.096 


0.196 




White Female 


0.296 


3.596 


7.996 


22.696 


30.096 


64.296 




White Male 


0.296 


3.296 


5.596 


11.196 


8.196 


28.196 


Delaware 


All 


0.796 


8.996 


15.296 


34.996 


40.396 


100.096 




Asian Female 


0.096 


0.096 


0.196 


0.196 


0.196 


0.396 




Asian Male 


0.096 


0.196 


0.096 


0.096 


0.096 


0.196 




Black Female 


0.196 


1.696 


1.896 


2.796 


2.996 


9.196 




Black Male 


0.196 


1.696 


1.596 


1.696 


0.996 


5.796 




Hispanic Female 


0.096 


0.096 


0.196 


0.196 


0.296 


0.596 




Hispanic Male 


0.096 


0.196 


0.196 


0.096 


0.096 


0.396 




Native American Female 


0.096 


0.096 


0.096 


0.196 


0.096 


0.196 




Native American Male 


0.096 


0.096 


0.096 


0.196 


0.096 


0.196 




White Female 


0.296 


2.896 


7.096 


20.796 


29.296 


60.096 




White Male 


0.296 


2.796 


4.596 


9.596 


7.096 


23.996 



63 



Certified Beds per 
Thousand Residents 



Table 5(b) 3. Nursing Home Residents by Race, Sex and Age by State, 2001 





Age 


Age 


Age 


Age 


Age 




State Race/Sex 


<30 


30-64 


65-74 


75-84 


> 84 


Total 


District of Columbia All 


0.696 


10.896 


19.696 


35.996 


33.096 


100.096 


Asian Female 


0.0% 


0.096 


0.196 


0.196 


0.296 


0.396 


Asian Male 


0.0% 


0.096 


0.196 


0.196 


0.196 


0.396 


Black Female 


0.396 


4.696 


9.596 


19.496 


19.196 


52.896 


Black Male 


0.296 


5.096 


5.896 


7.096 


4.296 


22.296 


Hispanic Female 


0.096 


0.196 


0.296 


0.296 


0.296 


0.696 


Hispanic Male 


0.096 


0.196 


0.196 


0.196 


0.196 


0.396 


Native American Female 


0.096 


0.096 


0.096 


0.096 


0.196 


0.296 


Native American Male 


0.096 


0.096 


0.096 


0.096 


0.096 


0.196 


White Female 


0.196 


0.796 


2.796 


6.396 


7.696 


17.496 


White Male 


0.096 


0.496 


1.396 


2.796 


1.596 


5.996 


Florida All 


0.696 


8.596 


16.396 


36.796 


38.096 


100.096 


Asian Female 


0.096 


0.096 


0.096 


0.196 


0.096 


0.296 


Asian Male 


0.096 


0.096 


0.096 


0.096 


0.096 


0.196 


Black Female 


0.196 


1.096 


1.296 


1.996 


1.896 


5.996 


Black Male 


0.196 


1.296 


1.096 


1.096 


0.696 


3.996 


Hispanic Female 


0.096 


0.296 


0.696 


1.496 


1.796 


4.096 


Hispanic Male 


0.096 


0.496 


0.596 


0.796 


0.596 


2.196 


Native American Female 


0.096 


0.096 


0.096 


0.096 


0.096 


0.196 


Native American Male 


0.096 


0.096 


0.096 


0.096 


0.096 


0.196 


White Female 


0.296 


2.796 


7.696 


20.296 


25.196 


55.796 


White Male 


0.296 


2.996 


5.396 


11.396 


8.296 


27.996 


Georgia All 


0.796 


10.096 


16.496 


35.796 


37.296 


100.096 


Asian Female 


0.096 


0.096 


0.096 


0.196 


0.196 


0.296 


Asian Male 


0.096 


0.096 


0.096 


0.096 


0.096 


0.196 


Black Female 


0.196 


1.996 


2.896 


5.396 


6.196 


16.296 


Black Male 


0.196 


2.396 


2.396 


2.596 


1.596 


8.796 


Hispanic Female 


0.096 


0.096 


0.096 


0.196 


0.196 


0.296 


Hispanic Male 


0.096 


0.096 


0.096 


0.096 


0.096 


0.196 


Native American Female 


0.096 


0.096 


0.096 


0.096 


0.196 


0.196 


Native American Male 


0.096 


0.096 


0.096 


0.096 


0.096 


0.196 


White Female 


0.396 


2.996 


6.996 


20.496 


24.296 


54.696 


White Male 


0.296 


2.896 


4.396 


7.396 


5.296 


19.796 


Hawaii All 


0.896 


8.696 


15.196 


35.796 


39.996 


100.096 


Asian Female 


0.296 


2.396 


5.696 


14.796 


19.196 


42.096 


Asian Male 


0.496 


3.596 


4.996 


10.896 


10.496 


29.996 


Black Female 


0.096 


0.196 


0.096 


0.196 


0.196 


0.296 


Black Male 


0.096 


0.096 


0.096 


0.096 


0.096 


0.196 


Hispanic Female 


0.096 


0.196 


0.196 


0.396 


0.596 


1.196 


Hispanic Male 


0.096 


0.196 


0.296 


0.296 


0.296 


0.896 


Native American Female 


0.096 


0.096 


0.196 


0.096 


0.096 


0.196 


Native American Male 


0.096 


0.096 


0.096 


0.196 


0.096 


0.196 


White Female 


0.096 


1.296 


2.296 


6.396 


7.296 


16.996 


White Male 


0.196 


1.396 


2.096 


3.296 


2.496 


8.996 



64 



Certified Beds per 

Thnncanrl PociHontc 



Table 5(b) 4. Nursing Home Residents by Race, Sex and Age by State, 2001 



State 



Race/Sex 



Age 
<30 



Age 
30-64 



Age 
65- 74 



Age 
75 -84 



Age 
> 84 



Tota! 



Idaho 



All 0.5% 

Asian Female 0.096 

Asian Male 0.096 

Black Female 0.096 

Black Male 0.096 

Hispanic Female 0.096 

Hispanic Male 0.096 

Native American Female 0.096 

Native American Male 0.096 

White Female 0.396 

White Male 0.296 



8.196 
0.096 
0.096 
0.096 
0.096 
0.196 
0.196 
0.196 
0.196 
4.296 
3.496 



15.496 
0.096 
0.096 
0.096 
0.196 
0.196 
0.196 
0.196 
0.196 
9.296 
5.696 



35.896 
0.196 
0.196 
0.096 
0.096 
0.296 
0.196 
0.296 
0.196 
23.396 
11.796 



40.196 
0.196 
0.096 
0.096 
0.096 
0.296 
0.196 
0.196 
0.096 
29.496 
10.296 



100.096 
0.296 
0.296 
0.196 
0.196 
0.696 
0.496 
0.596 
0.496 
66.496 
31.296 



Illinois 



All 0.796 

Asian Female 0.096 

Asian Male 0.096 

Black Female 0.196 

Black Male 0.296 

Hispanic Female 0.096 

Hispanic Male 0.096 

Native American Female 0.096 

Native American Male 0.096 

White Female 0.296 

White Male 0.296 



12.496 
0.196 
0.196 
1.596 
2.396 
0.296 
0.396 
0.096 
0.096 
3.896 
4.296 



15.696 
0.196 
0.196 
1.396 
1.196 
0.296 
0.296 
0.096 
0.096 
7.696 
5.096 



34.096 
0.296 
0.196 
1.996 
1.196 
0.296 
0.296 
0.196 
0.096 

20.896 
9.596 



37.396 
0.296 
0.196 
1.996 
0.696 
0.296 
0.196 
0.196 
0.096 

27.296 
7.296 



100.096 
0.596 
0.396 
6.796 
5.296 
0.896 
0.896 
0.196 
0.196 
59.596 
26.196 



Indiana 



All 0.796 

Asian Female 0.096 

Asian Male 0.096 

Black Female 0.196 

Black Male 0.196 

Hispanic Female 0.096 

Hispanic Male 0.096 

Native American Female 0.096 

Native American Male 0.096 

White Female 0.396 

White Male 0.396 



0.096 
0.096 
0.596 
0.796 
0.096 
0.196 
0.096 
0.096 
3.996 
3.596 



16.196 
0.096 
0.096 
0.896 
0.796 
0.196 
0.196 
0.096 
0.096 
9.096 
5.496 



36.796 
0.196 
0.096 
1.596 
0.896 
0.196 
0.196 
0.096 
0.096 
23.696 
10.696 



37.896 
0.196 
0.096 
1.496 
0.496 
0.196 
0.096 
0.096 
0.096 

28.296 
7.596 



100.096 
0.296 
0.196 
4.396 
2.696 
0.296 
0.296 
0.196 
0.196 
65.096 
27.396 



Iowa 



All 0.496 

Asian Female 0.096 

Asian Male 0.096 

Black Female 0.096 

Black Male 0.096 

Hispanic Female 0.096 

Hispanic Male 0.096 

Native American Female 0.096 

Native American Male 0.096 

White Female 0.296 

White Male 0.296 



5.796 
0.096 
0.096 
0.196 
0.196 
0.096 
0.096 
0.096 
0.096 
2.996 
2.696 



12.896 
0.096 
0.096 
0.196 
0.196 
0.096 
0.096 
0.096 
0.096 
7.496 
5.096 



34.196 
0.096 
0.096 
0.296 
0.196 
0.196 
0.096 
0.096 
0.096 
22.496 
11.396 



47.096 
0.096 
0.096 
0.296 
0.196 
0.196 
0.096 
0.096 
0.096 
36.496 
10.296 



100.096 
0.196 
0.196 
0.696 
0.396 
0.296 
0.196 
0.196 
0.196 
69.396 
29.396 



65 



Certified Beds per 

ThmicanH Pocirlontc 



Table 5(b) 5. Nursing Home Residents by Race, Sex and Age by State, 2001 







Age 


Age 


Age 


Age 


Age 




State 


Race/Sex 


<30 


30-64 


65- 74 


75 -84 


>84 


Total 


Kansas 


All 


0.396 


6.696 


12.596 


33.596 


47.296 


100.096 




Asian Female 


0.0% 


0.096 


0.096 


0.096 


0.196 


0.196 




Asian Male 


0.0% 


0.096 


0.096 


0.096 


0.096 


0.096 




Black Female 


0.0% 


0.396 


0.496 


0.996 


0.996 


2.596 




Black Male 


0.0% 


0.396 


0.496 


0.496 


0.396 


1.496 




Hispanic Female 


0.0% 


0.196 


0.196 


0.296 


0.296 


0.596 




Hispanic Male 


0.0% 


0.196 


0.196 


0.196 


0.196 


0.496 




Native American Female 


0.0% 


0.096 


0.096 


0.196 


0.196 


0.296 




Native American Male 


0.0% 


0.096 


0.096 


0.196 


0.096 


0.196 




White Female 


0.1% 


2.996 


6.896 


21.596 


35.596 


66.996 




White Male 


0.1% 


2.896 


4.696 


10.396 


10.096 


27.896 


Kentucky 


All 


0.6% 


8.596 


16.596 


36.196 


38.296 


100.096 




Asian Female 


0.0% 


0.096 


0.096 


0.096 


0.096 


0.196 




Asian Male 


0.0% 


0.096 


0.096 


0.096 


0.096 


0.196 




Black Female 


0.0% 


0.596 


0.796 


1.396 


1.796 


4.296 




Black Male 


0.0% 


0.496 


0.596 


0.796 


0.496 


2.096 




Hispanic Female 


0.0% 


0.096 


0.096 


0.096 


0.196 


0.196 




Hispanic Male 


0.0% 


0.096 


0.096 


0.096 


0.096 


0.196 




Native American Female 


0.0% 


0.096 


0.096 


0.196 


0.096 


0.196 




Native American Male 


0.0% 


0.096 


0.096 


0.096 


0.096 


0.196 




White Female 


0.3% 


4.096 


9.396 


24.296 


28.796 


66.596 




White Male 


0.3% 


3.796 


5.996 


9.896 


7.296 


26.896 


Louisiana 


All 


0.7% 


13.996 


18.396 


33.696 


33.596 


100.096 




Asian Female 


0.0% 


0.096 


0.096 


0.096 


0.096 


0.196 




Asian Male 


0.0% 


0.096 


0.096 


0.096 


0.096 


0.196 




Black Female 


0.1% 


2.496 


3.096 


4.996 


5.496 


15.996 




Black Male 


0.2% 


3.596 


2.696 


2.796 


1.896 


10.996 




Hispanic Female 


0.0% 


0.096 


0.196 


0.196 


0.196 


0.396 




Hispanic Male 


0.0% 


0.196 


0.196 


0.196 


0.096 


0.296 




Native American Female 


0.0% 


0.096 


0.096 


0.196 


0.096 


0.196 




Native American Male 


0.0% 


0.096 


0.096 


0.096 


0.096 


0.196 




White Female 


0.2% 


3.896 


7.496 


18.096 


20.896 


50.296 




White Male 


0.2% 


4.096 


5.096 


7.696 


5.196 


22.096 


Maine 


All 


0.39 o 


7.396 


15.596 


36.496 


40.596 


100.096 




Asian Female 


0.096 


0.096 


0.096 


0.096 


0.096 


0.196 




Asian Male 


0.096 


0.096 


0.096 


0.096 


0.096 


0.096 




Black Female 


0.096 


0.096 


0.096 


0.096 


0.096 


0.196 




Black Male 


0.096 


0.096 


0.096 


0.096 


0.096 


0.196 




Hispanic Female 


0.096 


0.096 


0.096 


0.096 


0.096 


0.196 




Hispanic Male 


0.096 


0.096 


0.096 


0.096 


0.096 


0.096 




Native American Female 


0.096 


0.096 


0.096 


0.196 


0.196 


0.296 




Native American Male 


0.096 


0.096 


0.096 


0.096 


0.096 


0.196 




White Female 


0.296 


3.996 


9.196 


23.796 


31.796 


68.596 




White Male 


0.296 


3.396 


6.396 


12.496 


8.796 


30.896 



66 



Certified Beds per 



Thr 



iH D 



rwic:ann U'ocmDnt 



Table 5(b) 6. Nursing Home Residents by Race, Sex and Age by State, 2001 





Age 


Age 


Age 


Age 


Age 




State Race/Sex 


< 30 


30-64 


65-74 


75-84 


> 84 


Total 


Maryland All 


0.896 


11.896 


17.896 


36.096 


33.796 


100.096 


Asian Female 


0.096 


0.196 


0.196 


0.296 


0.296 


0.696 


Asian Male 


0.096 


0.096 


0.196 


0.196 


0.196 


0.396 


Black Female 


0.196 


2.496 


2.796 


4.596 


4.196 


13.896 


Black Male 


0.296 


3.196 


2.396 


2.396 


1.196 


8.996 


Hispanic Female 


0.096 


0.096 


0.196 


0.196 


0.196 


0.396 


Hispanic Male 


0.096 


0.196 


0.096 


0.196 


0.096 


0.296 


Native American Female 


0.096 


0.096 


0.096 


0.196 


0.196 


0.296 


Native American Male 


0.096 


0.096 


0.096 


0.096 


0.096 


0.196 


White Female 


0.396 


3.296 


7.696 


19.696 


22.196 


52.796 


White Male 


0.296 


2.996 


5.096 


9.096 


5.996 


22.996 


Massachusetts All 


0.896 


8.296 


14.696 


35.696 


40.996 


100.096 


Asian Female 


0.096 


0.096 


0.196 


0.196 


0.196 


0.396 


Asian Male 


0.096 


0.096 


0.196 


0.196 


0.096 


0.296 


Black Female 


0.196 


0.496 


0.496 


0.696 


0.596 


1.996 


Black Male 


0.096 


0.496 


0.396 


0.396 


0.196 


1.296 


Hispanic Female 


0.096 


0.196 


0.196 


0.296 


0.196 


0.696 


Hispanic Male 


0.096 


0.296 


0.196 


0.196 


0.196 


0.596 


Native American Female 


0.096 


0.096 


0.096 


0.096 


0.196 


0.196 


Native American Male 


0.096 


0.096 


0.096 


0.096 


0.096 


0.196 


White Female 


0.396 


3.596 


8.196 


23.396 


31.996 


67.196 


White Male 


0.396 


3.596 


5.596 


10.896 


7.996 


27.996 


Michigan All 


0.396 


7.596 


14.096 


36.696 


41.596 


100.096 


Asian Female 


0.096 


0.096 


0.096 


0.196 


0.196 


0.296 


Asian Male 


0.096 


0.096 


0.096 


0.096 


0.096 


0.196 


Black Female 


0.096 


0.896 


1.196 


2.496 


2.496 


6.896 


Black Male 


0.196 


1.196 


1.096 


1.296 


0.796 


4.196 


Hispanic Female 


0.096 


0.096 


0.196 


0.196 


0.196 


0.496 


Hispanic Male 


0.096 


0.096 


0.196 


0.196 


0.196 


0.296 


Native American Female 


0.096 


0.096 


0.096 


0.196 


0.196 


0.396 


Native American Male 


0.096 


0.096 


0.096 


0.196 


0.096 


0.196 


White Female 


0.196 


2.996 


7.296 


22.496 


29.996 


62.596 


White Male 


0.196 


2.596 


4.596 


10.296 


8.196 


25.496 


Minnesota All 


0.596 


7.696 


12.196 


33.796 


46.296 


100.096 


Asian Female 


0.096 


0.096 


0.096 


0.196 


0.196 


0.296 


Asian Male 


0.096 


0.096 


0.096 


0.196 


0.096 


0.196 


Black Female 


0.096 


0.296 


0.196 


0.296 


0.296 


0.796 


Black Male 


0.096 


0.396 


0.196 


0.196 


0.196 


0.696 


Hispanic Female 


0.096 


0.096 


0.096 


0.096 


0.096 


0.196 


Hispanic Male 


0.096 


0.096 


0.096 


0.096 


0.096 


0.196 


Native American Female 


0.096 


0.196 


0.196 


0.196 


0.196 


0.496 


Native American Male 


0.096 


0.196 


0.196 


0.196 


0.096 


0.396 


White Female 


0.296 


3.396 


6.996 


22.196 


35.296 


67.696 


White Male 


0.296 


3.596 


4.896 


10.996 


10.596 


29.996 



67 



Certified Beds per 

i J r» — :~j~«4-,~ 



Table 5(b) 7. Nursing Home Residents by Race, Sex and Age by State, 2001 



State 



Race/Sex 



Age 
< 30 



Age 
30-64 



Age 
65 - 74 



Age 
75-84 



Age 
> 84 



Total 



Mississippi All 0.396 

Asian Female 0.096 

Asian Male 0.096 

Black Female 0.196 

Black Male 0.196 

Hispanic Female 0.096 

Hispanic Male 0.096 

Native American Female 0.096 

Native American Male 0.096 

White Female 0.196 

White Male 0.196 



8.696 
0.096 
0.0% 
1.696 
2.096 
0.096 
0.096 
0.096 
0.096 
2.796 
2.296 



16.696 
0.096 
0.096 
3.096 
2.496 
0.096 
0.096 
0.196 
0.196 
7.396 
3.896 



34.196 
0.096 
0.096 
5.696 
2.796 
0.096 
0.096 
0.196 
0.096 

19.696 
6.196 



40.596 
0.096 
0.096 
7.796 
2.696 
0.096 
0.096 
0.196 
0.096 

25.196 
5.096 



100.096 

0.096 

0.096 

17.996 

9.696 

0.196 

0.196 

0.396 

0.296 

54.896 

17.296 



Missouri 



Asian Female 
Asian Male 
Black Female 
Black Male 
Hispanic Female 
Hispanic Male 
Native American Female 
Native American Male 
White Female 
White Male 



0.696 
0.096 
0.096 
0.196 
0.196 
0.096 
0.096 
0.096 
0.096 
0.296 
0.296 



8.596 
0.096 
0.096 
0.696 
0.896 
0.096 
0.096 
0.096 
0.096 
3.696 
3.496 



15.096 
0.096 
0.096 
0.896 
0.696 
0.096 
0.096 
0.096 
0.096 
8.196 
5.396 



35.096 
0.196 
0.096 
1.796 
0.796 
0.096 
0.096 
0.196 
0.096 
22.196 
10.396 



41.096 
0.096 
0.096 
1.796 
0.596 
0.196 
0.096 
0.196 
0.096 

30.496 
8.296 



100.096 
0.196 
0.096 
4.996 
2.796 
0.196 
0.196 
0.196 
0.196 
64.496 
27.496 



Montana All 0.496 

Asian Female 0.096 

Asian Male 0.096 

Black Female 0.096 

Black Male 0.096 

Hispanic Female 0.096 

Hispanic Male 0.096 

Native American Female 0.096 

Native American Male 0.096 

White Female 0.296 

White Male 0.296 



8.696 
0.096 
0.096 
0.096 
0.196 
0.096 
0.196 
0.496 
0.696 
3.796 
3.896 



14.696 
0.096 
0.096 
0.096 
0.096 
0.096 
0.196 
0.396 
0.396 
8.296 
5.696 



36.696 
0.096 
0.096 
0.096 
0.096 
0.196 
0.196 
0.596 
0.396 
23.296 
12.596 



39.896 
0.096 
0.096 
0.196 
0.096 
0.196 
0.196 
0.496 
0.296 
29.096 
10.096 



100.096 
0.196 
0.096 
0.196 
0.196 
0.296 
0.296 
1.696 
1.596 
64.296 
32.196 



Nebraska All 0.896 

Asian Female 0.096 

Asian Male 0.096 

Black Female 0.096 

Black Male 0.096 

Hispanic Female 0.096 

Hispanic Male 0.096 

Native American Female 0.096 

Native American Male 0.096 

White Female 0.396 

White Male 0.396 



7.996 
0.096 
0.096 
0.296 
0.296 
0.196 
0.196 
0.196 
0.196 
3.796 
3.396 



13.496 
0.096 
0.096 
0.296 
0.296 
0.196 
0.196 
0.196 
0.196 
7.596 
5.196 



32.596 
0.096 
0.096 
0.496 
0.296 
0.196 
0.196 
0.196 
0.096 
21.196 
10.596 



45.596 
0.096 
0.096 
0.496 
0.296 
0.196 
0.196 
0.196 
0.096 
34.696 
10.096 



100.096 
0.196 
0.196 
1.396 
0.896 
0.396 
0.396 
0.496 
0.296 
67.396 
29.396 



68 



Certified Beds per 

ThnncanH RodHpntQ 



Table 5(b) 8. Nursing Home Residents by Race, Sex and Age by State, 2001 







Age 


Age 


Age 


Age 


Age 




State 


Race/Sex 


< 30 


30-64 


65- 74 


75-84 


> 84 


Total 


Nevada 


All 


0.896 


11.596 


19.496 


36.896 


31.596 


100.096 




Asian Female 


0.0% 


0.196 


0.296 


0.396 


0.296 


0.896 




Asian Male 


0.0% 


0.196 


0.196 


0.296 


0.196 


0.496 




Black Female 


0.0% 


0.596 


0.596 


0.896 


0.896 


2.596 




Black Male 


0.0% 


0.696 


0.596 


0.496 


0.396 


1.896 




Hispanic Female 


0.0% 


0.196 


0.396 


0.496 


0.596 


1.396 




Hispanic Male 


0.0% 


0.496 


0.396 


0.396 


0.296 


1.396 




Native American Female 


0.0% 


0.196 


0.196 


0.196 


0.196 


0.396 




Native American Male 


0.0% 


0.196 


0.196 


0.096 


0.196 


0.396 




White Female 


0.3% 


4.896 


10.296 


22.296 


22.796 


60.396 




White Male 


0.3% 


4.896 


7.296 


12.196 


6.696 


31.096 


New Hampshire 


All 


0.5% 


5.996 


14.096 


35.796 


44.096 


100.096 




Asian Female 


0.0% 


0.096 


0.096 


0.096 


0.096 


0.096 




Asian Male 


0.0% 


0.096 


0.096 


0.096 


0.096 


0.196 




Black Female 


0.0% 


0.096 


0.096 


0.096 


0.096 


0.196 




Black Male 


0.0% 


0.096 


0.196 


0.096 


0.096 


0.196 




Hispanic Female 


0.0% 


0.096 


0.096 


0.096 


0.096 


0.196 




Hispanic Male 


0.0% 


0.096 


0.096 


0.096 


0.096 


0.096 




Native American Female 


0.0% 


0.096 


0.096 


0.096 


0.196 


0.196 




Native American Male 


0.096 


0.096 


0.096 


0.096 


0.096 


0.196 




White Female 


0.2% 


3.396 


8.296 


25.396 


35.796 


72.896 




White Male 


0.296 


2.696 


5.696 


10.296 


8.196 


26.796 


New Jersey 


All 


0.996 


8.696 


15.396 


36.096 


39.396 


100.096 




Asian Female 


0.096 


0.196 


0.196 


0.196 


0.196 


0.496 




Asian Male 


0.096 


0.196 


0.096 


0.196 


0.196 


0.296 




Black Female 


0.196 


1.096 


1.496 


2.196 


2.096 


6.696 




Black Male 


0.196 


1.196 


1.196 


1.196 


0.596 


3.996 




Hispanic Female 


0.096 


0.296 


0.396 


0.596 


0.696 


1.696 




Hispanic Male 


0.196 


0.396 


0.396 


0.396 


0.296 


1.296 




Native American Female 


0.096 


0.096 


0.096 


0.196 


0.196 


0.296 




Native American Male 


0.096 


0.096 


0.096 


0.096 


0.096 


0.196 




White Female 


0.396 


3.096 


7.296 


21.596 


28.696 


60.696 




White Male 


0.296 


2.896 


4.996 


10.296 


7.196 


25.296 


New Mexico 


All 


0.696 


9.196 


15.596 


34.796 


40.196 


100.096 




Asian Female 


0.096 


0.096 


0.196 


0.196 


0.296 


0.496 




Asian Male 


0.096 


0.196 


0.096 


0.096 


0.196 


0.296 




Black Female 


0.096 


0.196 


0.296 


0.496 


0.596 


1.296 




Black Male 


0.096 


0.196 


0.296 


0.296 


0.296 


0.696 




Hispanic Female 


0.196 


1.296 


2.296 


4.696 


6.096 


14.096 




Hispanic Male 


0.196 


2.096 


2.396 


3.296 


2.696 


10.396 




Native American Female 


0.096 


0.496 


0.796 


1.196 


1.496 


3.796 




Native American Male 


0.196 


0.696 


0.696 


0.896 


0.696 


2.796 




White Female 


0.296 


2.496 


5.696 


15.796 


22.496 


46.396 




White Male 


0.196 


2.296 


3.696 


8.696 


6.196 


20.696 



SOURCE: MDS & ESCAR 



69 



Certified Beds per 

ThruicanH RociHontc 



Table 5 (b) 9. Nursing Home Residents by Race, Sex and Age by State, 2001 





Age 


Age 


Age 


Age 


Age 




State Race/Sex 


< 30 


30-64 


65 -74 


75 -84 


> 84 


Total 


New York All 


0.896 


9.596 


14.796 


33.996 


41.196 


100.096 


Asian Female 


0.0% 


0.196 


0.196 


0.396 


0.396 


0.896 


Asian Male 


0.0% 


0.196 


0.196 


0.296 


0.196 


0.596 


Black Female 


0.1% 


1.196 


1.596 


2.596 


2.596 


7.796 


Black Male 


0.1% 


1.596 


1.396 


1.396 


0.696 


4.896 


Hispanic Female 


0.196 


0.496 


0.596 


0.796 


0.796 


2.496 


Hispanic Male 


0.196 


0.896 


0.596 


0.496 


0.296 


2.096 


Native American Female 


0.096 


0.096 


0.196 


0.196 


0.396 


0.596 


Native American Male 


0.096 


0.096 


0.096 


0.196 


0.196 


0.296 


White Female 


0.2% 


2.896 


6.396 


19.496 


29.296 


57.996 


White Male 


0.296 


2.796 


4.496 


8.996 


7.296 


23.396 


North Carolina All 


0.596 


8.996 


17.396 


37.396 


36.196 


100.096 


Asian Female 


0.096 


0.096 


0.096 


0.096 


0.096 


0.196 


Asian Male 


0.096 


0.096 


0.096 


0.096 


0.096 


0.196 


Black Female 


0.196 


1.596 


2.496 


4.696 


4.696 


13.296 


Black Male 


0.196 


1.996 


2.0% 


2.496 


1.396 


7.696 


Hispanic Female 


0.096 


0.096 


0.096 


0.096 


0.096 


0.196 


Hispanic Male 


0.096 


0.096 


0.096 


0.096 


0.096 


0.196 


Native American Female 


0.096 


0.096 


0.196 


0.296 


0.296 


0.496 


Native American Male 


0.096 


0.096 


0.196 


0.196 


0.196 


0.296 


White Female 


0.296 


2.896 


7.896 


21.496 


24.496 


56.696 


White Male 


0.296 


2.596 


4.896 


8.696 


5.596 


21.696 


North Dakota All 


0.296 


5.496 


12.196 


33.096 


49.396 


100.096 


Asian Female 


0.096 


0.096 


0.096 


0.096 


0.096 


0.096 


Asian Male 


0.096 


0.096 


0.096 


0.096 


0.096 


0.096 


Black Female 


0.096 


0.096 


0.096 


0.096 


0.096 


0.096 


Black Male 


0.096 


0.096 


0.096 


0.096 


0.096 


0.096 


Hispanic Female 


0.096 


0.096 


0.096 


0.196 


0.096 


0.196 


Hispanic Male 


0.096 


0.096 


0.096 


0.096 


0.096 


0.096 


Native American Female 


0.096 


0.296 


0.196 


0.496 


0.296 


0.996 


Native American Male 


0.196 


0.3% 


0.296 


0.296 


0.196 


0.896 


White Female 


0.196 


2.396 


6.396 


20.396 


36.796 


65.796 


White Male 


0.196 


2.696 


5.496 


12.296 


12.296 


32.596 


Ohio All 


0.696 


10.396 


17.196 


36.696 


35.596 


100.096 


Asian Female 


0.096 


0.096 


0.096 


0.096 


0.096 


0.196 


Asian Male 


0.0% 


0.096 


0.096 


0.096 


0.096 


0.196 


Black Female 


0.196 


1.096 


1.396 


2.196 


1.996 


6.496 


Black Male 


0.196 


1.196 


1.096 


1.196 


0.696 


3.896 


Hispanic Female 


0.096 


0.096 


0.196 


0.196 


0.196 


0.296 


Hispanic Male 


0.096 


0.196 


0.196 


0.196 


0.096 


0.296 


Native American Female 


0.096 


0.096 


0.096 


0.096 


0.096 


0.196 


Native American Male 


0.096 


0.096 


0.096 


0.096 


0.096 


0.196 


White Female 


0.296 


4.196 


8.996 


22.696 


26.096 


61.896 


White Male 


0.296 


3.996 


5.896 


10.796 


6.896 


27.496 



SOURCE: MDS& OSCAR 



70 



Certified Beds per 

ThnncanH Rocirlontc 



Table 5 (b) 10. Nursing Home Residents by Race, Sex and Age by State, 2001 



State 



Race/Sex 



Age 
< 30 



Age 
30 -64 



Age 
65 - 74 



Age 
75 -84 



Age 
> 84 



Total 



Oklahoma All 0.596 

Asian Female 0.096 

Asian Male 0.096 

Black Female 0.096 

Black Male 0.096 

Hispanic Female 0.096 

Hispanic Male 0.096 

Native American Female 0.096 

Native American Male 0.096 

White Female 0.296 

White Male 0.296 



10.496 
0.096 
0.096 
0.696 
0.696 
0.196 
0.196 
0.496 
0.496 
4.396 
3.996 



14.996 
0.096 
0.096 
0.796 
0.596 
0.196 
0.196 
0.496 
0.496 
7.996 
5.096 



33.396 
0.096 
0.096 
1.196 
0.696 
0.196 
0.196 
0.696 
0.496 

21.496 
8.996 



SOURCE:MDS & OSCAR 



40.996 
0.096 
0.096 
1.496 
0.496 
0.196 
0.196 
0.896 
0.296 

30.396 
7.696 



100.096 
0.196 
0.196 
3.896 
2.196 
0.396 
0.296 
2.296 
1.496 
64.296 
25.696 



Oregon 


All 


0.996 


9.096 


15.096 


37.596 


37.796 


100.096 




Asian Female 


0.096 


0.096 


0.196 


0.196 


0.196 


0.496 




Asian Male 


0.096 


0.196 


0.096 


0.196 


0.196 


0.296 




Black Female 


0.096 


0.196 


0.196 


0.296 


0.296 


0.796 




Black Male 


0.096 


0.196 


0.196 


0.196 


0.196 


0.596 




Hispanic Female 


0.096 


0.196 


0.196 


0.196 


0.196 


0.496 




Hispanic Male 


0.096 


0.196 


0.196 


0.196 


0.196 


0.496 




Native American Female 


0.096 


0.196 


0.096 


0.196 


0.096 


0.296 




Native American Male 


0.096 


0.196 


0.196 


0.196 


0.096 


0.296 




White Female 


0.496 


4.096 


8.396 


23.196 


27.696 


63.396 




White Male 


0.496 


4.396 


6.196 


13.596 


9.496 


33.796 


Pennsyvania 


All 


0.496 


7.496 


14.996 


37.396 


40.096 


100.096 




Asian Female 


0.096 


0.096 


0.096 


0.196 


0.096 


0.196 




Asian Male 


0.096 


0.096 


0.096 


0.096 


0.096 


0.196 




Black Female 


0.096 


0.696 


0.896 


1.596 


1.696 


4.596 




Black Male 


0.096 


0.796 


0.796 


0.796 


0.496 


2.496 




Hispanic Female 


0.096 


0.096 


0.196 


0.196 


0.196 


0.296 




Hispanic Male 


0.096 


0.196 


0.196 


0.196 


0.096 


0.296 




Native American Female 


0.096 


0.096 


0.096 


0.096 


0.096 


0.196 




Native American Male 


0.096 


0.096 


0.096 


0.096 


0.096 


0.096 




White Female 


0.296 


3.296 


8.096 


23.996 


29.896 


65.196 




White Male 


0.296 


2.996 


5.296 


10.996 


8.096 


27.296 


Rhode Island 


All 


0.296 


5.896 


12.696 


36.596 


44.996 


100.096 




Asian Female 


0.096 


0.096 


0.096 


0.196 


0.196 


0.396 




Asian Male 


0.096 


0.096 


0.096 


0.196 


0.096 


0.196 




Black Female 


0.096 


0.396 


0.396 


0.596 


0.496 


1.596 




Black Male 


0.096 


0.296 


0.296 


0.296 


0.196 


0.896 




Hispanic Female 


0.096 


0.196 


0.196 


0.296 


0.196 


0.596 




Hispanic Male 


0.096 


0.196 


0.196 


0.196 


0.196 


0.496 




Native American Female 


0.096 


0.096 


0.096 


0.096 


0.196 


0.196 




Native American Male 


0.096 


0.096 


0.096 


0.096 


0.096 


0.196 




White Female 


0.196 


2.896 


7.196 


25.196 


35.596 


70.596 




White Male 


0.196 


2.396 


4.796 


10.296 


8.496 


25.796 



71 



Certified Beds per 

Thnneanrl PoeiHonfrc 



Table 5 (b) 11. Nursing Home Residents by Race, Sex and Age by State, 2001 





Age 


Age 


Age 


Age 


Age 




State Race/Sex 


< 30 


30-64 


65-74 


75-84 


> 84 


Total 


South Carolina All 


0.496 


8.496 


17.596 


38.196 


35.696 


100.096 


Asian Female 


0.0% 


0.096 


0.096 


0.096 


0.096 


0.196 


Asian Male 


0.096 


0.096 


0.096 


0.096 


0.096 


0.196 


Black Female 


0.196 


1.796 


3.096 


5.796 


5.996 


16.396 


Black Male 


0.096 


2.196 


2.496 


3.096 


1.796 


9.196 


Hispanic Female 


0.096 


0.096 


0.096 


0.096 


0.096 


0.196 


Hispanic Male 


0.096 


0.096 


0.096 


0.096 


0.096 


0.096 


Native American Female 


0.096 


0.096 


0.096 


0.196 


0.196 


0.296 


Native American Male 


0.096 


0.096 


0.096 


0.096 


0.096 


0.196 


White Female 


0.196 


2.496 


7.696 


21.096 


23.196 


54.296 


White Male 


0.196 


2.296 


4.596 


8.396 


4.796 


19.896 


South Dakota All 


0.396 


6.796 


11.596 


32.296 


49.296 


100.096 


Asian Female 


0.096 


0.096 


0.096 


0.096 


0.096 


0.096 


Asian Male 


0.096 


0.096 


0.096 


0.096 


0.096 


0.096 


Black Female 


0.096 


0.096 


0.096 


0.096 


0.096 


0.096 


Black Male 


0.096 


0.096 


0.096 


0.096 


0.096 


0.196 


Hispanic Female 


0.096 


0.096 


0.096 


0.096 


0.096 


0.196 


Hispanic Male 


0.096 


0.096 


0.096 


0.096 


0.096 


0.196 


Native American Female 


0.096 


0.596 


0.696 


0.696 


0.496 


2.196 


Native American Male 


0.096 


0.896 


0.696 


0.496 


0.296 


1.996 


White Female 


0.196 


2.896 


6.096 


20.796 


37.096 


66.596 


White Male 


0.296 


2.796 


4.496 


10.596 


11.696 


29.296 


Tennesee All 


0.596 


10.496 


17.396 


35.796 


36.296 


100.096 


Asian Female 


0.096 


0.096 


0.096 


0.096 


0.096 


0.196 


Asian Male 


0.096 


0.096 


0.096 


0.096 


0.096 


0.096 


Black Female 


0.196 


1.196 


1.596 


2.896 


3.296 


8.596 


Black Male 


0.196 


1.396 


1.296 


1.496 


0.996 


4.896 


Hispanic Female 


0.096 


0.096 


0.096 


0.096 


0.096 


0.196 


Hispanic Male 


0.096 


0.096 


0.096 


0.096 


0.096 


0.196 


Native American Female 


0.096 


0.096 


0.096 


0.096 


0.096 


0.196 


Native American Male 


0.096 


0.096 


0.096 


0.096 


0.096 


0.196 


White Female 


0.296 


3.996 


9.096 


22.196 


25.696 


60.696 


White Male 


0.296 


4.196 


5.696 


9.396 


6.496 


25.696 


Texas All 


0.796 


9.496 


15.996 


34.296 


39.896 


100.096 


Asian Female 


0.096 


0.096 


0.196 


0.196 


0.196 


0.396 


Asian Male 


0.096 


0.096 


0.096 


0.196 


0.096 


0.296 


Black Female 


0.196 


0.996 


1.296 


2.196 


2.496 


6.696 


Black Male 


0.196 


0.996 


1.096 


1.096 


0.896 


3.796 


Hispanic Female 


0.196 


0.796 


1.396 


2.396 


2.596 


6.996 


Hispanic Male 


0.196 


1.096 


1.296 


1.596 


1.196 


4.996 


Native American Female 


0.096 


0.096 


0.096 


0.196 


0.196 


0.396 


Native American Male 


0.096 


0.096 


0.096 


0.096 


0.096 


0.296 


White Female 


0.296 


3.096 


6.796 


18.996 


26.596 


55.396 


White Male 


0.296 


2.896 


4.396 


8.196 


6.496 


21.996 



72 



Certified Beds per 
Thousand Residents 



Table 5 (b) 12. Nursing Home Residents by Race, Sex and Age by State, 2001 







Age 


Age 


Age 


Age 


Age 




State 


Race/Sex 


<30 


30-64 


65 - 74 


75-84 


> 84 


Total 


Utah 


All 


1.0% 


11.196 


18.096 


36.096 


33.996 


100.096 




Asian Female 


0.096 


0.196 


0.196 


0.296 


0.196 


0.596 




Asian Male 


0.0% 


0.196 


0.096 


0.196 


0.196 


0.396 




Black Female 


0.0% 


0.196 


0.196 


0.196 


0.196 


0.496 




Black Male 


0.0% 


0.196 


0.196 


0.196 


0.096 


0.396 




Hispanic Female 


0.0% 


0.296 


0.396 


0.496 


0.296 


1.296 




Hispanic Male 


0.1% 


0.396 


0.396 


0.396 


0.296 


1.296 




Native American Female 


0.096 


0.196 


0.196 


0.296 


0.396 


0.796 




Native American Male 


0.096 


0.396 


0.196 


0.296 


0.296 


0.896 




White Female 


0.496 


5.196 


10.296 


22.996 


24.496 


63.096 




White Male 


0.496 


4.896 


6.796 


11.596 


8.396 


31.896 


Vermont 


All 


0.396 


6.296 


14.296 


36.496 


42.896 


100.096 




Asian Female 


0.096 


0.096 


0.096 


0.096 


0.096 


0.196 




Asian Male 


0.096 


0.096 


0.096 


0.096 


0.096 


0.096 




Black Female 


0.096 


0.096 


0.096 


0.096 


0.196 


0.196 




Black Male 


0.096 


0.096 


0.096 


0.196 


0.096 


0.196 




Hispanic Female 


0.096 


0.096 


0.096 


0.196 


0.196 


0.296 




Hispanic Male 


0.096 


0.096 


0.096 


0.196 


0.196 


0.196 




Native American Female 


0.096 


0.096 


0.096 


0.096 


0.196 


0.196 




Native American Male 


0.096 


0.096 


0.096 


0.096 


0.096 


0.096 




White Female 


0.296 


3.296 


8.096 


24.596 


33.396 


69.196 




White Male 


0.196 


3.096 


6.196 


11.896 


9.396 


30.296 


Virginia 


All 


0.696 


9.296 


16.396 


37.296 


36.796 


100.096 




Asian Female 


0.096 


0.096 


0.196 


0.196 


0.196 


0.496 




Asian Male 


0.096 


0.196 


0.096 


0.196 


0.096 


0.296 




Black Female 


0.196 


1.496 


2.296 


4.496 


4.196 


12.296 




Black Male 


0.196 


1.696 


2.096 


2.396 


1.296 


7.296 




Hispanic Female 


0.096 


0.096 


0.096 


0.196 


0.196 


0.396 




Hispanic Male 


0.096 


0.096 


0.096 


0.096 


0.096 


0.196 




Native American Female 


0.096 


0.096 


0.096 


0.096 


0.096 


0.196 




Native American Male 


0.096 


0.096 


0.096 


0.096 


0.096 


0.196 




White Female 


0.296 


3.196 


7.396 


21.196 


25.496 


57.196 




White Male 


0.296 


2.996 


4.696 


9.096 


5.796 


22.396 


Washington 


All 


0.896 


11.796 


15.796 


36.296 


35.596 


100.096 




Asian Female 


0.096 


0.196 


0.296 


0.496 


0.496 


1.196 




Asian Male 


0.096 


0.196 


0.296 


0.396 


0.296 


0.796 




Black Female 


0.096 


0.296 


0.296 


0.496 


0.396 


1.296 




Black Male 


0.096 


0.596 


0.296 


0.396 


0.196 


1.096 




Hispanic Female 


0.096 


0.196 


0.196 


0.196 


0.196 


0.496 




Hispanic Male 


0.196 


0.296 


0.196 


0.196 


0.196 


0.596 




Native American Female 


0.096 


0.196 


0.196 


0.196 


0.196 


0.596 




Native American Male 


0.096 


0.296 


0.196 


0.196 


0.096 


0.496 




White Female 


0.396 


5.196 


8.596 


22.096 


25.696 


61.496 




White Male 


0.396 


5.196 


6.196 


12.596 


8.896 


32.796 



73 



Certified Beds per 
Thousand Residents 



Table 5 (b) 13. Nursing Home Residents by Race, Sex and Age by State, 2001 







Age 


Age 


Age 


Age 


Age 




State 


Race/Sex 


<30 


30-64 


65- 74 


75 -84 


> 84 


Total 


West Virginia 


All 


0.39b 


9.796 


18.096 


36.196 


35.996 


100.096 




Asian Female 


0.096 


0.096 


0.096 


0.196 


0.196 


0.296 




Asian Male 


0.096 


0.096 


0.096 


0.096 


0.096 


0.196 




Black Female 


0.096 


0.296 


0.496 


0.896 


1.096 


2.596 




Black Male 


0.096 


0.396 


0.396 


0.496 


0.396 


1.296 




Hispanic Female 


0.096 


0.096 


0.096 


0.096 


0.096 


0.096 




Hispanic Male 


0.096 


0.096 


0.096 


0.096 


0.096 


0.096 




Native American Female 


0.096 


0.096 


0.096 


0.096 


0.096 


0.196 




Native American Male 


0.096 


0.096 


0.096 


0.096 


0.096 


0.096 




White Female 


0.196 


4.996 


10.896 


24.396 


27.296 


67.296 




White Male 


0.296 


4.396 


6.596 


10.596 


7.396 


28.796 


Wisconsin 


All 


0.296 


6.896 


12.796 


35.596 


44.896 


100.096 




Asian Female 


0.096 


0.096 


0.096 


0.096 


0.096 


0.196 




Asian Male 


0.096 


0.096 


0.096 


0.096 


0.096 


0.196 




Black Female 


0.096 


0.396 


0.296 


0.396 


0.396 


1.296 




Black Male 


0.096 


0.396 


0.296 


0.296 


0.196 


0.896 




Hispanic Female 


0.096 


0.096 


0.096 


0.196 


0.096 


0.296 




Hispanic Male 


0.096 


0.196 


0.196 


0.196 


0.096 


0.296 




Native American Female 


0.096 


0.196 


0.196 


0.196 


0.196 


0.396 




Native American Male 


0.096 


0.096 


0.196 


0.196 


0.096 


0.296 




White Female 


0.196 


3.196 


7.096 


22.996 


34.196 


67.296 




White Male 


0.196 


2.996 


5.096 


11.796 


10.196 


29.896 


Wyoming 


All 


0.596 


8.896 


14.596 


33.996 


42.496 


100.096 




Asian Female 


0.096 


0.096 


0.096 


0.096 


0.096 


0.196 




Asian Male 


0.096 


0.096 


0.096 


0.096 


0.096 


0.096 




Black Female 


0.096 


0.296 


0.196 


0.296 


0.196 


0.696 




Black Male 


0.096 


0.096 


0.196 


0.096 


0.096 


0.296 




Hispanic Female 


0.096 


0.296 


0.496 


0.596 


0.696 


1.796 




Hispanic Male 


0.096 


0.196 


0.296 


0.496 


0.396 


1.196 




Native American Female 


0.096 


0.296 


0.296 


0.396 


0.296 


0.996 




Native American Male 


0.096 


0.596 


0.296 


0.296 


0.196 


1.096 




White Female 


0.296 


4.096 


8.296 


21.996 


31.596 


65.996 




White Male 


0.296 


3.696 


5.296 


10.396 


9.596 


28.796 



74 



Table 7. Nursing Home Residents by Sex and Type of Nursing Home: United States, 1999-2001. 





1999 




2000 




2001 




Percent of Residents 




Percent of Residents 




Percent of Residents 


Residents 


Male Female 


Residents 


Male Female 


Residents 


Male Female 



Nation 


2,927,152 


30.9 


67.5 


2,975,209 


31.7 


68.3 


3,026,529 


32.0 


68.0 


Ownership 




















Proprietary 


1,816,646 


31.8 


68.2 


1,861,268 


32.2 


67.8 


1,902,027 


32.7 


67.3 


Voluntary Non-Profit 


931,264 


29.8 


70.2 


934,523 


29.9 


70.1 


947,120 


30.0 


70.0 


Government 


179,242 


35.0 


65.0 


179,418 


35.2 


64.8 


177,382 


35.5 


64.5 


Certification 




















Medicare and Medicaid 


2,465,048 


31.1 


68.9 


2,510,797 


31.4 


68.6 


2,580,419 


31.7 


68.3 


Medicare only 


298,297 


34.7 


65.3 


302,577 


34.9 


65.5 


283,425 


34.6 


65.4 


Medicaid only 


163,807 


30.5 


69.5 


161,835 


30.7 


69.3 


162,685 


32.2 


67.8 


Bed Size 




















Less than 50 


348,988 


34.2 


65.8 


353,267 


34.1 


65.9 


369,218 


34.3 


65.7 


50-99 


642,362 


30.4 


69.6 


648,855 


30.5 


69.5 


665,625 


30.8 


69.2 


100 - 199 


1,439,444 


30.7 


69.3 


1,473,851 


31.1 


68.9 


1,514,324 


31.5 


68.5 


200 or more 


496,358 


32.7 


67.3 


499,236 


33.2 


66.8 


477,362 


33.5 


66.5 



Source: MDS and OSCAR 



75 



Nursing Home Residents by Home Type, 
Resident Sex 



Table 8. Nursing Home Residents by Sex and State: United States, 1999-2001. 







1999 






2000 






2001 






Percent of Residents 


Percent of Residents 


Percent of Residents 




Residents 


Male 


Female 


Residents 


Male 


Female 


Residents 


Male 


Female 


ation 


3,065,168 


31.6 


68.4 


3,050,255 


31.8 


68.2 


3,066,494 


32.1 


67.9 


Alabama 


42,195 


26.7 


73.3 


43,730 


27.1 


72.9 


45,421 


27.5 


72.5 


Alaska 


1,295 


42.1 


57.9 


1,372 


41.5 


58.5 


1,368 


40.9 


59.1 


Arizona 


38,699 


36.5 


63.5 


37,634 


37.0 


63.0 


37,336 


37.3 


62.7 


Arkansas 


35,259 


30.8 


69.2 


33,798 


30.7 


69.3 


33,431 


30.9 


69.1 


California 


258,946 


35.0 


65.0 


254,493 


35.3 


64.7 


251,007 


35.4 


64.6 


Colorado 


35,174 


32.3 


67.7 


35,548 


32.5 


67.5 


35,963 


32.8 


67.2 


Connecticut 


58,405 


31.4 


68.6 


59,183 


31.2 


68.8 


59,857 


31.6 


68.4 


Delaware 


7,766 


30.0 


70.0 


7,849 


29.8 


70.2 


8,335 


30.8 


69.2 


District of Columbia 


5,212 


28.6 


71.4 


5,281 


28.6 


71.4 


5,453 


30.2 


69.8 


Florida 


185,411 


34.2 


65.8 


189,373 


34.5 


65.5 


192,101 


34.9 


65.1 


Georgia 


62,712 


28.7 


71.3 


62,217 


28.9 


71.1 


62,925 


29.3 


70.7 


Hawaii 


6,911 


40.3 


59.7 


7,194 


39.8 


60.2 


7,408 


39.7 


60.3 


Idaho 


11,817 


32.3 


67.7 


12,135 


32.8 


67.2 


12,553 


34.9 


65.1 


Illinois 


169,000 


32.9 


67.1 


165,633 


33.3 


66.7 


164,910 


33.6 


66.4 


Indiana 


87,033 


30.6 


69.4 


86,188 


30.7 


69.3 


85,194 


31.1 


68.9 


Iowa 


52,009 


29.8 


70.2 


51,198 


29.9 


70.1 


51,014 


29.8 


70.2 


Kansas 


40,972 


30.4 


69.6 


39,894 


30.4 


69.6 


38,273 


29.9 


70.1 


Kentucky 


48,304 


29.5 


70.5 


47,572 


29.5 


70.5 


47,446 


29.6 


70.4 


Louisiana 


53,792 


33.4 


66.6 


52,043 


33.5 


66.5 


50,719 


33.6 


66.4 


Maine 


18,030 


31.2 


68.8 


17,927 


31.9 


68.1 


18,037 


32.0 


68.0 


Maryland 


58,941 


32.5 


67.5 


60,116 


32.9 


67.1 


61,631 


33.1 


66.9 


Massachusetts 


103,900 


30.4 


69.6 


103,144 


30.4 


69.6 


102,299 


30.5 


69.5 


Michigan 


84,945 


30.0 


70.0 


84,381 


30.4 


69.6 


86,046 


30.6 


69.4 


Minnesota 


70,656 


31.2 


68.8 


69,301 


31.0 


69.0 


69,982 


31.5 


68.5 


Mississippi 


28,458 


27.4 


72.6 


27,734 


27.7 


72.3 


27,319 


27.8 


72.2 


Missouri 


82,664 


30.8 


69.2 


78,102 


30.4 


69.6 


76,773 


30.8 


69.2 


Montana 


12,853 


33.9 


66.1 


12,756 


34.7 


65.3 


12,770 


34.4 


65.6 


Nebraska 


28,362 


30.9 


69.1 


27,881 


30.8 


69.2 


27,740 


31.5 


68.5 


Nevada 


9,383 


35.0 


65.0 


10,580 


35.9 


64.1 


10,477 


35.1 


64.9 


New Hampshire 


13,415 


26.9 


73.1 


13,862 


27.7 


72.3 


13,838 


27.9 


72.1 


New Jersey 


94,807 


30.9 


69.1 


98,750 


31.6 


68.4 


102,213 


32.0 


68.0 


New Mexico 


12,538 


34.1 


65.9 


12,494 


34.6 


65.4 


12,826 


35.7 


64.3 


New York 


195,409 


31.1 


68.9 


202,198 


31.5 


68.5 


208,361 


31.8 


6B.2 


North Carolina 


72,047 


29.6 


70.4 


73,611 


29.7 


70.3 


76,288 


30.0 


70.0 


North Dakota 


10,961 


33.9 


66.1 


10,429 


34.2 


65.8 


10,712 


34.4 


65.6 


Ohio 


169,765 


31.5 


68.5 


169,473 


31.7 


68.3 


171,154 


31.9 


68.1 


Oklahoma 


44,447 


29.8 


70.2 


42,837 


29.9 


70.1 


41,791 


30.3 


69.7 


Oregon 


26,220 


35.0 


65.0 


25,333 


35.0 


65.0 


25,781 


35.1 


64.9 


Pennsylvania 


181,978 


30.3 


69.7 


178,452 


30.3 


69.7 


177,026 


30.4 


69.6 


Rhode Island 


16,720 


27.0 


73.0 


16,918 


27.4 


72.6 


17,003 


28.1 


71.9 


South Carolina 


32,614 


29.3 


70.7 


33,749 


30.1 


69.9 


34,112 


30.3 


69.7 


South Dakota 


11,989 


31.2 


68.8 


11,687 


32.1 


67.9 


11,724 


31.9 


68.1 


Tennessee 


71,446 


30.5 


69.5 


70,713 


30.5 


69.5 


71,661 


30.6 


69.4 


Texas 


174,522 


31.3 


68.7 


169,605 


31.5 


68.5 


169,690 


31.7 


68.3 


Utah 


15,247 


34.2 


65.8 


15,627 


35.0 


65.0 


15,778 


35.9 


64.1 


Vermont 


6,486 


30.3 


69.7 


6,459 


30.2 


69.8 


6,491 


29.6 


70.4 


Virginia 


55,949 


30.0 


70.0 


56,642 


29.9 


70.1 


58,765 


30.7 


69.3 


Washington 


58,320 


35.5 


64.5 


57,600 


35.3 


64.7 


57,641 


35.5 


64.5 


West Virginia 


22,843 


30.1 


69.9 


22,532 


30.3 


69.7 


22,793 


30.9 


69.1 


Wisconsin 


73,379 


32.0 


68.0 


72,111 


32.0 


68.0 


72,225 


32.0 


68.0 


Wyoming 


4,962 


31.0 


69.0 


4,916 


31.1 


68.9 


4,833 


31.3 


68.7 



Source: MDS 



76 



Residents by Sex 



Table 9. Nursing Home Residents by Age Group and Type of Nursing Home: 
United States, 1999-2001 



1999 








Percent of Residents 














Age Groups 










Residents 


0-30 


31-64 


65-74 


74-84 


85-94 


95 + 


Nation 


2,927,152 


0.7 


9.3 


14.9 


34.5 


34.1 


6.5 


Ownership 
















Proprietary 


1,816,646 


0.7 


9.5 


14.5 


34.4 


34.5 


6.4 


Voluntary non-profit 


931,264 


0.7 


7.4 


14.9 


34.9 


35.2 


7.0 


Government 


179,242 


1.0 


11.8 


15.1 


33.4 


32.3 


6.2 


Certification 
















Medicare and Medicaid 


2,465,048 


0.6 


8.8 


14.1 


34.3 


35.4 


6.9 


Medicare only 


298,297 


0.7 


8.5 


21.4 


39.7 


26.4 


3.3 


Medicaid only 


163,807 


1.9 


12.1 


11.2 


28.7 


37.5 


8.7 


BedSize 
















Less than 50 


348,988 


1.0 


9.7 


20.9 


38.1 


26.6 


3.7 


50-99 


642,362 


0.7 


8.0 


12.9 


33.2 


37.4 


7.8 


100 - 199 


1,439,444 


0.7 


8.4 


13.8 


34.6 


35.8 


6.8 


200 or more 


496,358 


0.8 


11.3 


15.0 


33.5 


33.0 


6.4 


















2000 








Percent of Residents 














Age Groups 










Residents 


0-30 


31-64 


65-74 


74-84 


85-94 


95 + 


Nation 


2,975,209 


0.7 


9.7 


14.7 


34.6 


33.9 


6.5 


Ownership 
















Proprietary 


1,861,268 


0.6 


10.1 


14.6 


34.5 


33.8 


6.3 


Voluntary non-profit 


934,523 


0.6 


7.6 


14.6 


35.0 


35.2 


7.0 


Government 


179,418 


1.0 


12.2 


14.8 


33.5 


32.3 


6.3 


Certification 
















Medicare and Medicaid 


2,510,797 


0.6 


9.3 


14.1 


34.4 


34.9 


6.8 


Medicare only 


302,577 


0.6 


8.7 


20.9 


39.8 


26.8 


3.2 


Medicaid only 


161,835 


1.8 


12.6 


11.2 


28.7 


37.0 


8.8 


BedSize 
















Less than 50 


353,267 


0.8 


10.0 


20.6 


38.1 


26.7 


3.8 


50-99 


648,855 


0.6 


8.3 


12.8 


33.3 


37.2 


7.7 


100 - 199 


1,473,851 


0.6 


8.9 


13.8 


34.7 


35.2 


6.7 


200 or more 


499,236 


0.7 


12.0 


15.0 


33.6 


32.4 


6.3 




2001 








Percent of Residents 














Age Groups 










Residents 


0-30 


31-64 


65-74 


74-84 


85-94 


95 + 


Nation 


3,026,529 


0.6 


10.1 


14.6 


34.6 


33.7 


6.4 


Ownership 
















Proprietary 


1,902,027 


0.6 


10.9 


14.7 


34.5 


33.2 


6.1 


Voluntary non-profit 


947,120 


0.6 


7.8 


14.4 


34.9 


35.2 


7.1 


Government 


177,382 


0.9 


12.3 


14.8 


33.8 


32.1 


6.2 


Certification 
















Medicare and Medicaid 


2,580,419 


0.5 


9.9 


14.2 


34.4 


34.4 


6.6 


Medicare only 


283,425 


0.5 


8.7 


20.5 


40.2 


26.8 


3.3 


Medicaid only 


162,685 


2.0 


14.3 


11.2 


28.2 


35.8 


8.6 


BedSize 
















Less than 50 


369,218 


0.8 


10.2 


20.7 


38.3 


26.4 


3.7 


50-99 


665,625 


0.6 


8.9 


12.8 


33.3 


36.8 


7.6 


100 - 199 


1,514,324 


0.5 


9.6 


14.0 


34.8 


34.6 


6.6 


200 or more 


477,362 


0.7 


12.9 


14.4 


33.0 


32.6 


6.4 



Source: MDS and OSCAR 



77 



Residents by Age and Facility Type 



Table 10 (a). Nursing Home Residents by Age Group and State: United States, 1999 

Percent of Residents 



Residents 



0-30 



31-64 



Age Groups 
65-74 75-84 



85-94 



95 + 



Nation 

Alabama 

Alaska 

Arizona 

Arkansas 

California 



3,065,168 

42,195 

1,295 

38,699 

35,259 

258,946 



0.7 

0.8 
1.5 
0.9 
0.5 
1.3 



9.3 

7.0 
20.7 
12.0 

9.4 
12.6 



14.9 

14.5 
21.3 
16.6 
14.8 
15.5 



34.5 

34.5 
33.3 
35.3 
34.0 
33.7 



34.1 

36.7 
19.8 
30.2 
35.0 
30.9 



6.5 

6.5 
3.3 
5.0 
6.2 
6.0 



Colorado 

Connecticut 

Delaware 

District of Columbia 

Florida 



35,174 

58,405 

7,766 

5,212 

185,411 



0.6 

0.6 
0.8 
0.7 
0.7 



10.0 
8.3 
8.8 

10.0 
8.1 



13.8 
14.3 
14.3 
18.6 
15.5 



33.5 
34.8 
34.0 
35.0 
35.9 



35.2 
35.1 
35.3 
29.3 
33.7 



6.8 
6.8 
6.8 
6.3 
6.1 



Georgia 

Hawaii 

Idaho 

Illinois 

Indiana 



62,712 

6,911 

11,817 

169,000 

87,033 



0.8 
1.1 
0.5 
0.9 
0.8 



9.6 

9.4 

7.6 

12.7 



15.7 
14.3 
14.4 
14.8 
15.5 



34.6 
34.6 
35.2 
32.8 
35.8 



33.6 
32.5 
35.9 
32.5 
33.1 



5.7 
8.0 
6.2 
6.3 
6.2 



Iowa 

Kansas 

Kentucky 

Louisiana 

Maine 



52,009 
40,972 
48,304 
53,792 
18,030 



0.5 

0.4 
0.7 
0.8 
0.5 



5.4 

7.2 

8.5 

13.3 

7.4 



12.0 
12.2 
16.0 
17.6 
14.6 



32.7 
31.9 
35.5 
32.8 
35.4 



39.7 
39.4 
33.3 
30.2 
35.2 



9.7 
8.9 
6.0 
5.2 
7.0 



Maryland 

Massachusetts 

Michigan 

Minnesota 

Mississippi 



58,941 
103,900 
84,945 
70,656 
28,458 



0.9 
0.8 
0.4 
0.5 
0.4 



11.6 
8.1 
7.3 
7.4 
8.4 



16.9 
14.0 
13.2 
11.4 
16.5 



35.3 
34.8 
35.6 
32.5 



30.0 
35.2 
36.3 
39.6 
34.8 



5.3 

7.0 
7.1 
8.7 
6.6 



Missouri 

Montana 

Nebraska 

Nevada 

New Hampshire 



82,664 
12,853 
28,362 
9,383 
13,415 



0.6 
0.5 
0.8 
0.8 
0.5 



8.5 
8.3 
7.7 
11.1 
5.6 



14.6 
13.8 
13.2 
18.3 
13.0 



34.1 
35.9 
31.5 
36.7 
34.7 



35.6 
34.9 
38.3 
28.5 
38.6 



6.7 
6.7 
8.5 
4.6 
7.5 



New Jersey 
New Mexico 
New York 
North Carolina 
North Dakota 



94,807 
12,538 
195,409 
72,047 
10,961 



0.9 

0.8 
0.9 
0.6 
0.3 



8.2 

9.5 
9.4 
8.5 
5.1 



14.4 
15.4 
13.9 
16.3 
11.9 



35.0 
33.8 
32.8 
36.3 
32.0 



35.1 
34.4 
35.5 
32.8 
41.7 



6.4 

6.1 
7.5 
5.5 
8.9 



Ohio 

Oklahoma 
Oregon 
Pennsylvania 
Rhode Island 



169,765 
44,447 
26,220 

181,978 
16,720 



0.7 
0.6 
0.9 
0.5 
0.2 



9.9 
8.7 
7.5 
5.6 



16.3 
14.5 
14.4 
14.5 
11.8 



35.8 
32.3 
36.4 
36.4 
35.3 



31.7 
35.9 
33.5 
34.9 
39.3 



5.7 
6.7 
6.0 
6.1 
7.8 



South Carolina 
South Dakota 
Tennessee 
Texas 
Utah 



32,614 
11,989 
71,446 
174,522 
15,247 



0.5 
0.4 
0.5 
0.8 
1.1 



7.8 
6.3 
9.8 
9.3 
10.8 



17.0 
10.8 
16.5 
15.6 
17.2 



37.3 
31.0 
35.0 
33.4 
35.2 



32.1 

40.9 
32.8 
34.5 
31.1 



5.3 

10.6 
5.4 
6.3 
4.6 



Vermont 

Virginia 

Washington 

West Virginia 

Wisconsin 

Wyoming 



6,486 
55,949 
58,320 
22,843 
73,379 

4,962 



0.4 
0.6 
0.9 
0.3 
0.3 
0.6 



6.0 
8.9 
11.3 
9.0 
6.8 
8.5 



13.2 
15.5 
14.9 
17.1 
12.2 
13.4 



35.3 
36.1 
35.3 
35.7 
34.2 
33.0 



37.9 
33.0 
31.8 
32.3 
38.4 
37.1 



7.3 
5.8 
5.8 
5.6 
8.0 
7.5 



Source: MDS 



78 



Residents by Age 



Table 10 (b). Nursing Home Residents by Age Group and State: United States, 2000 

Percent of Residents 



Residents 



0-30 



31-64 



Age Groups 
65-74 75-84 



85-94 



95 + 



Nation 

Alabama 

Alaska 

Arizona 

Arkansas 

California 



3,060,578 

43,755 

1,374 

37,774 

33,895 

255,139 



0.7 

0.7 
1.3 

0.9 
0.4 
1.2 



9.7 

7.5 
19.8 
12.5 

9.4 
13.1 



14.7 

15.1 
23.4 
16.3 
14.4 
15.0 



34.6 

34.8 
34.0 
35.3 
33.6 
33.7 



33.9 

35.6 
18.2 
30.0 
35.5 
30.9 



6.5 

6.3 
3.3 

5.0 
6.7 
6.0 



Colorado 

Connecticut 

Delaware 

District of Columbia 

Florida 



35,612 

59,234 

7,860 

5,292 

189,639 



0.5 
0.5 
0.7 
0.7 
0.6 



10.1 
9.0 
8.8 

10.8 
8.7 



13.5 

14.3 
14.4 
18.7 
15.8 



33.5 
34.5 
34.4 
34.3 
35.9 



35.4 
34.7 
34.7 
29.5 
33.1 



7.0 
6.9 
7.0 
6.1 
6.0 



Georgia 

Hawaii 

Idaho 

Illinois 

Indiana 



62,304 

7,201 

12,129 

166,475 

86,222 



0.7 
0.8 
0.5 
0.8 
0.7 



10.0 
9.7 
8.1 

13.5 
9.0 



15.4 
13.6 
15.1 
14.7 
15.4 



35.0 
34.4 
36.1 
32.7 
35.7 



33.1 
33.6 
34.5 
32.2 
33.0 



5.9 

8.0 
5.6 
6.0 
6.2 
9.4 
8.9 
6.1 
5.3 
6.9 
5.2 
7.1 
7.1 
8.8 
6.9 



Iowa 

Kansas 

Kentucky 

Louisiana 

Maine 



51,261 
39,977 
47,623 
52,096 
17,963 



0.4 
0.3 
0.6 
0.8 
0.5 



5.6 

7.4 

8.4 

13.6 

7.8 



12.2 
11.6 
15.9 
17.2 
14.6 



32.5 
32.4 
35.7 
32.8 
35.4 



39.9 
39.3 
33.4 
30.2 
34.8 



Maryland 

Massachusetts 

Michigan 

Minnesota 

Mississippi 



60,262 
103,298 
84,474 
69,335 
27,745 



0.7 
0.7 
0.3 
0.4 
0.3 



12.2 
8.4 
7.6 
7.6 



16.7 
13.9 
13.0 
11.4 
16.3 



35.7 
34.7 
35.6 
32.4 
33.0 



29.6 
35.2 
36.4 
39.4 
34.7 



Missouri 

Montana 

Nebraska 

Nevada 

New Hampshire 



78,351 
12,775 
27,881 
10,597 
13,872 



0.5 
0.5 
0.8 
0.8 
0.5 



8.9 

8.5 

7.8 

11.6 

5.4 



14.0 
14.2 
12.8 
18.2 
13.2 



34.1 
35.0 
32.0 
37.0 
35.2 



35.6 
35.3 
38.2 
27.8 
38.3 



6.9 

6.6 
8.5 
4.5 
7.3 



New Jersey 
New Mexico 
New York 
North Carolina 
North Dakota 



99,101 
12,542 
203,366 
73,730 
10,432 



0.9 

0.8 
0.8 
0.5 
0.3 



8.6 

9.7 
9.9 
8.9 
5.4 



14.5 
14.4 
13.9 
16.2 
11.2 



35.1 
34.3 
32.9 
36.5 
31.1 



34.6 
34.5 
35.1 
32.4 
42.9 



6.2 
6.3 

7.4 
5.5 
9.1 



Ohio 

Oklahoma 
Oregon 
Pennsylvania 
Rhode Island 



169,665 
42,951 
25,393 

178,835 
16,923 



0.6 

0.4 
1.0 
0.4 
0.2 



10.3 

10.5 

9.4 

7.7 

6.1 



15.9 
14.1 
14.1 
13.7 
11.5 



36.0 
32.4 
36.4 
36.7 
35.0 



31.6 
35.6 
33.4 
35.2 
39.3 



5.6 

7.0 
5.8 
6.3 
7.9 



South Carolina 
South Dakota 
Tennessee 
Texas 
Utah 



33,750 
11,693 
70,760 
171,813 
15,660 



0.4 
0.3 
0.5 
0.7 
1.1 



8.3 
6.4 

10.0 
9.7 

11.9 



16.8 
11.2 
16.4 
15.3 
16.8 



37.4 
30.8 
35.3 
33.6 
35.7 



32.0 
41.0 
32.3 
34.2 
30.2 



5.2 

10.4 

5.5 

6.4 
4.3 



Vermont 

Virginia 

Washington 

West Virginia 

Wisconsin 

Wyoming 



6,459 
56,624 
57,618 
22,644 
72,258 

4,927 



0.3 
0.6 
0.8 
0.3 
0.3 
0.5 



5.9 
9.1 
11.8 
10.0 
7.0 
9.1 



12.8 
15.5 
14.5 
16.4 
12.1 
13.7 



35.2 
36.2 
35.4 
36.1 
34.2 
33.6 



38.1 
32.8 
32.0 
31.6 
38.4 
35.7 



7.8 
5.9 
5.5 
5.6 
7.9 
7.4 



Source: MDS 



79 



Residents bv Aae 



Table 10 (c). Nursing Home Residents by Age Group and State: United States, 2001 

Percent of Residents 



Residents 



0-30 



31-64 



Age Groups 
65-74 75-84 



85-94 



95 + 



Nation 

Alabama 

Alaska 

Arizona 

Arkansas 

California 



3,068,519 

45,421 

1,368 

37,336 

33,431 

251,007 



0.6 

0.6 
1.4 
0.8 
0.3 
1.2 



10.1 

8.1 
22.1 
12.5 

9.7 
13.3 



14.6 

15.2 
21.2 
16.2 
14.0 
14.8 



34.6 

34.9 
34.3 
35.6 
33.6 
33.9 



33.7 

34.9 
17.8 
29.8 
35.7 
30.8 



6.4 

6.2 
3.3 

5.0 
6.7 
5.9 



Colorado 

Connecticut 

Delaware 

District of Columbia 

Florida 



35,963 

59,857 

8,335 

5,453 

192,101 



0.5 
0.4 
0.5 
0.4 
0.5 



10.5 
9.3 
9.6 

11.5 
9.4 



13.2 

14.0 
14.6 
19.4 
15.7 



33.9 
34.5 
35.4 
34.5 
36.1 



34.7 
35.1 
33.0 
28.2 
32.4 



7.1 
6.7 
6.9 
6.0 
5.9 



Georgia 

Hawaii 

Idaho 

Illinois 

Indiana 



62,925 

7,408 

12,553 

164,910 

85,194 



0.6 
1.0 
0.4 
0.8 
0.7 



10.7 
9.8 
8.7 

14.0 
9.5 



15.5 
12.8 
15.0 
14.6 
15.3 



34.8 
34.6 
36.0 
32.6 
35.4 



32.7 
34.2 
33.9 
31.9 
32.8 



5.8 

7.7 
5.9 
6.1 
6.2 
9.4 
9.1 
5.8 
5.5 
7.0 
5.1 
7.0 
6.8 
8.8 
6.6 



Iowa 

Kansas 

Kentucky 

Louisiana 

Maine 



51,014 
38,273 
47,446 
50,719 
18,037 



0.4 
0.3 
0.6 
0.7 
0.4 



5.7 
7.4 
8.7 
13.6 
8.1 



12.1 

11.5 
15.8 
17.0 
14.8 



32.8 
32.4 
35.8 
33.3 
35.3 



39.7 
39.3 
33.3 
29.9 
34.3 



Maryland 

Massachusetts 

Michigan 

Minnesota 

Mississippi 



61,631 
102,299 
86,046 
69,982 
27,319 



0.6 

0.7 
0.3 
0.4 
0.3 



12.2 
8.8 
8.1 
7.7 
9.8 



17.0 
13.6 
12.9 
11.7 
16.0 



35.8 
34.4 
35.8 
32.4 
33.3 



29.3 
35.6 
36.1 
38.9 
33.9 



Missouri 

Montana 

Nebraska 

Nevada 

New Hampshire 



76,773 
12,770 
27,740 
10,477 
13,838 



0.5 

0.5 
0.7 
0.8 
0.6 



9.3 
8.6 
8.3 
11.7 
5.7 



14.1 
14.2 
12.9 
17.0 
12.9 



33.6 
35.2 
32.0 
36.8 
34.8 



35.5 
35.1 
37.4 
29.0 
38.3 



7.0 
6.3 
8.6 
4.6 
7.6 



New Jersey 
New Mexico 
New York 
North Carolina 
North Dakota 



102,213 
12,826 

208,361 
76,288 
10,712 



0.8 
0.7 
0.7 
0.5 
0.2 



9.5 

10.3 

10.4 

9.4 

5.8 



14.4 
14.3 
14.1 
16.1 
11.3 



35.2 
33.8 
33.0 
36.5 
30.7 



34.0 
34.3 
34.5 
32.3 
42.6 



6.1 
6.5 
7.3 
5.3 
9.3 



Ohio 

Oklahoma 
Oregon 
Pennsylvania 
Rhode Island 



171,154 
41,791 
25,781 

177,026 
17,003 



0.5 
0.4 
1.0 
0.3 
0.3 



11.0 

10.9 

10.0 

8.1 

6.2 



15.9 

14.0 
14.4 
13.4 
11.5 



35.7 
32.8 
36.3 
36.3 
35.2 



31.4 
35.0 
33.0 
35.5 
39.1 



5.4 
6.9 
5.3 
6.4 
7.6 



South Carolina 
South Dakota 
Tennessee 
Texas 
Utah 



34,112 
11,724 
71,661 
169,690 
15,778 



0.3 

0.3 
0.6 
0.7 
1.0 



8.5 

6.7 

10.5 

10.0 

12.5 



17.2 

10.7 
16.5 
15.2 
17.5 



37.2 
31.1 
35.3 
34.0 
35.5 



31.6 

40.8 
31.7 
33.7 
29.0 



5.2 

10.5 

5.3 

6.5 

4.6 



Vermont 

Virginia 

Washington 

West Virginia 

Wisconsin 

Wyoming 



6,491 
58,765 
57,641 
22,793 
72,225 

4,833 



0.1 
0.5 
0.7 
0.3 
0.3 
0.3 



5.8 
9.4 
12.1 
10.5 
7.1 
8.6 



13.3 

15.8 
14.4 
17.3 
12.1 
13.7 



35.4 
36.4 
35.4 
35.6 
33.7 
32.9 



37.8 
32.2 
31.8 
30.7 
38.8 
37.4 



7.7 
5.7 
5.6 
5.6 
8.0 
7.0 



Source: MDS 



80 



Residents bv Aqe 



i 
I 



Table 11. Nursing Home Residents by Race and Nursing Home Ownership Type: 
United States, 1999-200L 



1999 



Percent of Residents 







American 








White, not 






Indian/Alaskan 


Asian/Pacific 


Black, not 


H 


spanic origin 




Residents 


Native 


Islander H 


ispanic origin 


Hispanic 




ation 


2,927,152 


0.5 


1.0 


10.0 


2.9 


85.6 


Ownership 














Proprietary 


1,816,646 


0.5 


1.0 


11.0 


3.3 


84.2 


Voluntary Non-Profit 


931,264 


0.5 


0.9 


7.6 


2.1 


89.0 


Government 


179,242 


0.5 


1.1 


9.4 


2.1 


86.9 


Certification 














Medicare and Medicaid 


2,465,048 


0.5 


1.1 


10.0 


2.9 


85.5 


Medicare only 


298,297 


0.3 


0.4 


7.5 


2.9 


88.8 


Medicaid only 


163,807 


0.7 


0.5 


10.8 


2.0 


85.9 


Bed Size 














Less than 50 


348,988 


0.5 


0.9 


7.6 


3.0 


87.9 


50-99 


642,362 


0.7 


1.1 


7.0 


3.0 


88.2 


100 - 199 


1,439,444 


0.4 


0.8 


9.9 


2.5 


86.4 


200 or more 


496,358 


0.4 


1.3 


14.8 


3.5 


79.9 




2000 






Percent of Residents 








American 




Black,not 




White,not 






Indian/Alaskan 


Asian/Pacific 


Hispanic 




Hispanic 




Residents 


Native 


Islander 


origin 


Hispanic 


origin 


ation 


2,975,209 


0.4 


1.1 


10.2 


3.1 


85.2 


Ownership 














Proprietary 


1,861,268 


0.4 


l.l 


11.3 


3.5 


83.7 


Voluntary Non-Profit 


934,523 


0.4 


0.9 


7.8 


2.2 


88.6 


Government 


179,418 


0.5 


1.1 


9.6 


2.2 


86.5 


Certification 














Medicare and Medicaid 


2,510,797 


0.4 


1.1 


10.3 


3.1 


85.0 


Medicare only 


302,577 


0.2 


0.5 


7.5 


3.2 


88.6 


Medicaid only 


161,835 


0.7 


0.6 


11.1 


2.0 


85.5 


Bed Size 














Less than 50 


353,267 


0.5 


1.0 


7.6 


3.1 


87.8 


50-99 


648,855 


0.6 


1.2 


7.2 


3.2 


87.8 


100 - 199 


1,473,851 


0.4 


0.9 


10.2 


2.7 


85.9 


200 or more 


499,236 


0.4 


1.4 


15.3 


3.8 


79.2 




2001 






Percent of Residents 







American 

Indian/Alaskan Asian/Pacific Black, not 

Residents Native Islander Hispanic origin 



Hispanic 



White, not 
Hispanic origin 



Nation 



3,026,529 



0.4 



1.1 



10.4 



3.2 



84.8 



Ownership 














Proprietary 


1,902,027 


0.4 


1.2 


11.7 


3.7 


83.1 


Voluntary Non-Profit 


947,120 


0.4 


0.9 


8.1 


2.2 


88.4 


Government 


177,382 


0.5 


1.2 


9.5 


2.2 


86.7 


Certification 














Medicare and Medicaid 


2,580,419 


0.4 


1.2 


10.7 


3.2 


84.4 


Medicare only 


283,425 


0.2 


0.5 


7.5 


2.4 


89.4 


Medicaid only 


162,685 


0.8 


0.9 


10.4 


2.9 


85.0 


Bed Size 














Less than 50 


369,218 


0.5 


1.0 


7.4 


2.9 


88.3 


50-99 


665,625 


0.6 


1.3 


7.5 


3.1 


87.5 


100 - 199 


1,514,324 


0.4 


0.9 


10.5 


2.9 


85.3 


200 or more 


477,362 


0.3 


1.5 


16.4 


4.2 


77.6 



Source: MDS and OSCAR 



81 



Residents by Race 

Hnmp Ownprshin 



Table 12 (a). Nursing Home Residents by Race and State: United States, 1999 









Percent of Residents 








American 


Asian/Pacific 


Black, not 


Hispanic 


White, not 




Residents 


Indian/Alaskan 
Native 


Islander H 


ispanic origin 


H 


spanic origin 


Nation 


3,066,539 


0.5 


1.0 


10.0 


2.9 


85.6 


Alabama 


42,195 


0.1 


0.1 


20.3 


0.1 


79.4 


Alaska 


1,295 


21.9 


3.3 


3.7 


0.8 


70.3 


Arizona 


38,699 


3.3 


0.5 


2.5 


7.9 


85.7 


Arkansas 


35,259 


0.4 


0.1 


13.7 


0.2 


85.6 


California 


258,946 


0.4 


5.5 


7.9 


9.2 


76.9 


Colorado 


35,174 


0.4 


0.6 


2.9 


6.8 


89.2 


Connecticut 


58,405 


0.2 


0.3 


5.3 


2.1 


92.1 


Delaware 


7,766 


0.3 


0.4 


15.5 


0.9 


83.0 


District of Columbia 


5,212 


0.2 


0.6 


75.2 


0.9 


23.0 


Florida 


185,411 


0.2 


0.3 


9.9 


6.1 


83.7 


Georgia 


62,712 


0.2 


0.3 


25.2 


0.3 


74.1 


Hawaii 


6,911 


0.2 


72.7 


0.3 


1.8 


25.0 


Idaho 


11,817 


0.9 


0.4 


0.2 


1.0 


97.5 


Illinois 


169,000 


0.2 


0.7 


12.5 


1.6 


85.0 


Indiana 


87,033 


0.2 


0.2 


7.1 


0.5 


92.0 


Iowa 


52,009 


0.2 


0.1 


0.9 


0.3 


98.5 


Kansas 


40,972 


0.3 


0.2 


4.0 


0.9 


94.6 


Kentucky 


48,304 


0.2 


0.1 


6.4 


0.2 


93.2 


Louisiana 


53,792 


0.2 


0.3 


26.9 


0.5 


72.1 


Maine 


18,030 


0.3 


0.1 


0.2 


0.1 


99.3 


Maryland 


58,941 


0.3 


0.9 


23.9 


0.5 


74.4 


Massachusetts 


103,900 


0.2 


0.6 


3.1 


1.2 


95.0 


Michigan 


84,945 


0.4 


0.3 


11.4 


0.6 


87.4 


Minnesota 


70,656 


0.7 


0.3 


1.4 


0.3 


97.4 


Mississippi 


28,458 


0.4 


0.1 


28.0 


0.2 


71.3 


Missouri 


82,664 


0.2 


0.2 


8.7 


0.3 


90.7 


Montana 


12,853 


3.1 


0.1 


0.2 


0.4 


96.1 


Nebraska 


28,362 


0.6 


0.2 


2.3 


0.6 


96.3 


Nevada 


9,383 


0.6 


1.2 


4.5 


2.7 


90.9 


New Hampshire 


13,415 


0.2 


0.1 


0.2 


0.1 


99.5 


New Jersey 


94,807 


0.3 


0.6 


10.5 


2.8 


85.8 


New Mexico 


12,538 


6.4 


0.6 


1.7 


24.6 


66.6 


New York 


195,409 


0.7 


1.3 


12.8 


4.5 


80.7 


North Carolina 


72,047 


0.6 


0.2 


20.9 


0.2 


78.2 


North Dakota 


10,961 


1.7 


0.0 


0.0 


0.1 


98.2 


Ohio 


169,765 


0.1 


0.2 


10.5 


0.4 


88.8 


Oklahoma 


44,447 


3.5 


0.2 


6.2 


0.6 


89.5 


Oregon 


26,220 


0.5 


0.6 


1.2 


0.8 


96.9 


Pennsylvania 


181,978 


0.1 


0.2 


7.4 


0.5 


91.8 


Rhode Island 


16,720 


0.2 


0.4 


2.3 


0.8 


96.2 


South Carolina 


32,614 


0.4 


0.1 


25.2 


0.1 


74.3 


South Dakota 


11,989 


3.9 


0.1 


0.1 


0.1 


95.8 


Tennessee 


71,446 


0.1 


0.1 


13.2 


0.2 


86.3 


Texas 


174,522 


0.4 


0.4 


10.6 


11.8 


76.8 


Utah 


15,247 


1.6 


0.7 


0.6 


2.4 


94.7 


Vermont 


6,486 


0.1 


0.1 


0.2 


0.3 


99.3 


Virginia 


55,949 


0.1 


0.6 


19.7 


0.4 


79.2 


Washington 


58,320 


0.9 


1.9 


2.2 


1.0 


94.1 


West Virginia 


22,843 


0.1 


0.2 


3.6 


0.0 


96.0 


Wisconsin 


73,379 


0.5 


0.2 


2.3 


0.5 


96.6 


Wyoming 


4,962 


1.9 


0.1 


0.7 


2.7 


94.6 



Source: MDS 



82 



Residents by Race 



Table 12 (b). Nursing Home Residents by Race and State: United States, 2000 









Percent of Residents 








American 


Asian/Pacific 


Black, not 


Hispanic 


White,not 




Residents 


Indian/Alaskan 
Native 


Islander H 


ispanic origin 




Hispanic origin 


Nation 


3,060,578 


0.4 


1.1 


10.2 


3.1 


85.2 


Alabama 


43,755 


0.1 


0.1 


20.7 


0.1 


78.9 


Alaska 


1,374 


21.6 


2.7 


3.4 


1.0 


71.3 


Arizona 


37,774 


3.6 


0.5 


2.6 


8.5 


84.8 


Arkansas 


33,895 


0.3 


0.1 


13.3 


0.2 


86.2 


California 


255,139 


0.4 


5.8 


8.1 


9.5 


76.3 


Colorado 


35,612 


0.5 


0.6 


3.0 


7.0 


88.9 


Connecticut 


59,234 


0.2 


0.3 


5.5 


2.2 


91.8 


Delaware 


7,860 


0.2 


0.3 


15.8 


0.7 


83.0 


District of Columbia 


5,292 


0.2 


0.7 


74.3 


1.1 


23.8 


Florida 


189,639 


0.1 


0.3 


10.0 


6.2 


83.4 


Georgia 


62,304 


0.1 


0.3 


25.6 


0.3 


73.7 


Hawaii 


7,201 


0.2 


72.5 


0.4 


1.9 


25.1 


Idaho 


12,129 


0.8 


0.4 


0.2 


1.2 


97.4 


Illinois 


166,475 


0.2 


0.8 


13.0 


1.7 


84.3 


Indiana 


86,222 


0.2 


0.2 


7.0 


0.5 


92.1 


Iowa 


51,261 


0.2 


0.1 


1.0 


0.3 


98.4 


Kansas 


39,977 


0.4 


0.2 


4.1 


1.0 


94.3 


Kentucky 


47,623 


0.2 


0.1 


6.3 


0.2 


93.2 


Louisiana 


52,096 


0.2 


0.2 


27.4 


0.7 


71.5 


Maine 


17,963 


0.2 


0.1 


0.2 


0.1 


99.5 


Maryland 


60,262 


0.2 


0.8 


24.4 


0.6 


73.9 


Massachusetts 


103,298 


0.2 


0.6 


3.2 


1.3 


94.7 


Michigan 


84,474 


0.3 


0.3 


11.6 


0.6 


87.3 


Minnesota 


69,335 


0.7 


0.3 


1.4 


0.3 


97.3 


Mississippi 


27,745 


0.3 


0.1 


28.4 


0.2 


71.1 


Missouri 


78,351 


0.2 


0.2 


8.9 


0.3 


90.5 


Montana 


12,775 


3.1 


0.1 


0.2 


0.4 


96.2 


Nebraska 


27,881 


0.5 


0.2 


2.4 


0.6 


96.3 


Nevada 


10,597 


0.8 


1.4 


5.0 


2.7 


90.1 


New Hampshire 


13,872 


0.1 


0.1 


0.2 


0.1 


99.4 


New Jersey 


99,101 


0.3 


0.6 


11.0 


2.9 


85.2 


New Mexico 


12,542 


6.3 


0.4 


1.8 


24.6 


66.9 


New York 


203,366 


0.5 


1.3 


13.1 


4.9 


80.2 


North Carolina 


73,730 


0.7 


0.2 


21.0 


0.2 


78.0 


North Dakota 


10,432 


1.7 


0.0 


0.0 


0.1 


98.1 


Ohio 


169,665 


0.1 


0.2 


10.9 


0.5 


88.4 


Oklahoma 


42,951 


3.6 


0.2 


6.3 


0.6 


89.3 


Oregon 


25,393 


0.5 


0.6 


1.3 


0.8 


96.8 


Pennsylvania 


178,835 


0.1 


0.3 


7.7 


0.5 


91.5 


Rhode Island 


16,923 


0.2 


0.5 


2.2 


0.9 


96.2 


South Carolina 


33,750 


0.2 


0.1 


25.7 


0.1 


73.8 


South Dakota 


11,693 


3.8 


0.1 


0.1 


0.1 


95.8 


Tennessee 


70,760 


0.1 


0.1 


13.0 


0.2 


86.5 


Texas 


171,813 


0.3 


0.4 


10.9 


12.3 


76.2 


Utah 


15,660 


1.3 


0.8 


0.7 


2.4 


94.7 


Vermont 


6,459 


0.2 


0.1 


0.1 


0.2 


99.4 


Virginia 


56,624 


0.3 


0.6 


19.8 


0.5 


78.8 


Washington 


57,618 


0.8 


2.0 


2.3 


1.0 


93.9 


West Virginia 


22,644 


0.1 


0.3 


3.5 


0.1 


96.1 


Wisconsin 


72,258 


0.4 


0.2 


2.5 


0.4 


96.5 


Wyoming 


4,927 


1.9 


0.3 


0.5 


2.2 


95.0 



Source: MDS 



83 



Residents by Race 



Table 12 (c). Nursing Home Residents by Race and State: United States, 2001 









Percent of Residents 








American 


Asian/Pacific 


Black, not 


Hispanic 


White, not 




Residents 


Indian/Alaskan 
Native 


Islander H 


spanic origin 




Hispanic origin 


Nation 


3,068,519 


0.4 


1.1 


10.4 


3.2 


84.8 


Alabama 


45,421 


0.1 


0.1 


21.2 


0.1 


78.5 


Alaska 


1,368 


20.9 


3.1 


3.1 


1.2 


71.7 


Arizona 


37,336 


3.4 


0.5 


2.6 


8.8 


84.6 


Arkansas 


33,431 


0.2 


0.1 


13.1 


0.2 


86.5 


California 


251,007 


0.4 


6.1 


8.2 


10.0 


75.3 


Colorado 


35,963 


0.5 


0.7 


2.8 


7.0 


89.0 


Connecticut 


59,857 


0.2 


0.3 


5.6 


2.3 


91.7 


Delaware 


8,335 


0.2 


0.3 


16.6 


0.8 


82.1 


District of Columbia 


5,453 


0.2 


0.9 


72.3 


1.0 


25.5 


Florida 


192,101 


0.1 


0.3 


10.3 


6.6 


82.7 


Georgia 


62,925 


0.1 


0.3 


26.1 


0.4 


73.1 


Hawaii 


7,408 


0.3 


72.7 


0.3 


1.8 


24.9 


Idaho 


12,553 


0.7 


0.3 


0.2 


1.3 


97.5 


Illinois 


164,910 


0.2 


1.0 


13.1 


1.8 


83.9 


Indiana 


85,194 


0.2 


0.2 


7.2 


0.5 


92.0 


Iowa 


51,014 


0.2 


0.2 


1.0 


0.3 


98.3 


Kansas 


38,273 


0.4 


0.2 


4.0 


1.0 


94.4 


Kentucky 


47,446 


0.1 


0.1 


6.6 


0.2 


93.0 


Louisiana 


50,719 


0.2 


0.2 


27.8 


0.6 


71.3 


Maine 


18,037 


0.1 


0.1 


0.1 


0.1 


99.5 


Maryland 


61,631 


0.3 


0.8 


25.0 


0.6 


73.3 


Massachusetts 


102,299 


0.2 


0.6 


3.4 


1.4 


94.4 


Michigan 


86,046 


0.3 


0.2 


11.9 


0.7 


86.9 


Minnesota 


69,982 


0.7 


0.3 


1.4 


0.3 


97.3 


Mississippi 


27,319 


0.2 


0.1 


28.7 


0.1 


70.9 


Missouri 


76,773 


0.2 


0.2 


8.8 


0.4 


90.4 


Montana 


12,770 


3.0 


0.1 


0.1 


0.4 


96.3 


Nebraska 


27,740 


0.6 


0.2 


2.5 


0.7 


96.0 


Nevada 


10,477 


0.8 


1.8 


5.5 


3.2 


88.7 


New Hampshire 


13,838 


0.2 


0.1 


0.2 


0.1 


99.3 


New Jersey 


102,213 


0.2 


0.7 


11.5 


3.1 


84.5 


New Mexico 


12,826 


6.2 


0.5 


1.8 


24.9 


66.6 


New York 


208,361 


0.3 


1.3 


13.4 


5.1 


79.9 


North Carolina 


76,288 


0.6 


0.2 


21.4 


0.2 


77.5 


North Dakota 


10,712 


1.8 


0.0 


0.1 


0.1 


97.9 


Ohio 


171,154 


0.1 


0.2 


11.0 


0.5 


88.2 


Oklahoma 


41,791 


3.7 


0.2 


6.2 


0.7 


89.2 


Oregon 


25,781 


0.5 


0.7 


1.2 


0.8 


96.8 


Pennsylvania 


177,026 


0.1 


0.3 


8.0 


0.5 


91.1 


Rhode Island 


17,003 


0.2 


0.4 


2.5 


1.1 


95.8 


South Carolina 


34,112 


0.2 


0.1 


26.4 


0.2 


73.1 


South Dakota 


11,724 


3.8 


0.1 


0.1 


0.2 


95.8 


Tennessee 


71,661 


0.1 


0.1 


12.8 


0.2 


86.8 


Texas 


169,690 


0.2 


0.4 


11.0 


12.8 


75.5 


Utah 


15,778 


1.4 


0.9 


0.8 


2.5 


94.4 


Vermont 


6,491 


0.5 


0.1 


0.2 


0.2 


99.0 


Virginia 


58,765 


0.1 


0.7 


20.6 


0.6 


78.1 


Washington 


57,641 


0.8 


2.1 


2.2 


1.0 


93.8 


West Virginia 


22,793 


0.1 


0.4 


3.5 


0.1 


96.1 


Wisconsin 


72,225 


0.4 


0.2 


2.6 


0.3 


96.5 


Wyoming 


4,833 


1.6 


0.2 


0.5 


2.4 


95.2 



Source: MDS 



84 



Residents by Race 



I 



Nursing Home Resident 
Clinical Characteristics 



85 



Nursing Home Resident Clinical 
Characteristics 

Activities of Daily Living (ADL) 

■ More than one third of nursing home residents require 
extensive assistance with 4 or more Activities of Daily 
Living (bed mobility, transferring, dressing, eating, or 
toileting). 

Figure 14; Tables 13 and 14(c) 

■ From 1998 to 2001 there was a slight decline in the 
proportion of residents with no ADL impairment. At the 
same time, there was a steady increase in residents 
with four or more ADL impairments. 

Figure 14; Tables 13 and 14 (a)-14(c) 

■ Facilities with fewer than 50 beds report smaller 
populations of residents with four or more ADL 
impairments than do larger facilities. 

Table 13 

■ Government-owned nursing homes report the lowest 
percentage of residents with no impairment and the 
highest percentage of residents with five ADL 
impairments. 

Table 13 

■ Non-profit nursing homes report the highest 
percentage of residents with no impairment and the 
lowest percentage with five. 

■ Within the for-profit organizations, large chains report 
a higher level of ADL impairment than do other nursing 
homes. 

Table 13 

■ The largest facilities — those with 200 beds or more — 
report the highest percentages of severe ADL 
impairment (four or five impairments). 

Table 13 



■ In one state, Illinois, the percentage of residents with 
no ADL impairment is greater than 45%; in three 
states — Mississippi, Hawaii, and Kentucky — the 
percentage of residents with 5 ADL impairments 25% 
is or greater. 

Table 14(c) 

Technical Notes: 

The source of these data is the Minimum Data Set (MDS). 
These data are collected and reported by nursing homes. 

The activities of daily living (ADLs) evaluated were: bed 
mobility, dressing, eating, transferring, and toileting. There 
are many ways to estimate the level of impairment involved 
with each of the "ADLs". For these charts and tables, 
dependency was considered to exist only when a resident 
required extensive assistance with one or more of these 
activities. The data presented are summary counts of the 
number of "ADLs" with which a resident requires extensive 
assistance. 

For analyses dependent on resident-specific (MDS) data 
only, we included every qualifying assessment regardless of 
whether the facility from which it originates has an 
identifiable record in OSCAR. However, where resident- 
specific data are summarized by OSCAR facility-level data 
(ownership, certification, bed size category, or chain 
affiliation), we excluded every MDS assessment from a 
nursing home 1) that does not have an identifiable record in 
OSCAR, or 2) for which the facility-level data are missing or 
invalid in the OSCAR record for that nursing home. 

Nursing Homes in Puerto Rico and the Virgin Islands were 
excluded from the analysis. Fewer than 10 certified nursing 
homes operate in each of these entities. 



86 



Cognitive Impairment 



As measured by the Cognitive Performance Scale, 
more than one-quarter of nursing home residents have 
no cognitive impairment, while more than 15 percent 
have severe or very severe cognitive impairment. 

Figure 15; Tables 15 and 16(c) 

From 1998 to 2001, reported cognitive impairment 
declined slightly, with the percentage of residents 
reported to have no impairment increasing and the 
percentage reported to have "Severe" and "Very 
Severe" impairment increasing. 

Figure 15; Tables 15 and 16(c) 



Government-owned nursing homes report that they 
care for a higher proportion of residents with severe 
or very severe cognitive impairment than do non-profit 
or for-profit facilities. 

Table 15 

Residents served by Medicaid-only certified nursing 
homes are more likely to be cognitively impaired than 
those served in Medicare-only or dually certified 
nursing homes. 

Figure 15; Table 15 



The Cognitive Performance Scale (Morris, 1994) is one 
method for estimating the cognitive ability of nursing home 
residents based on items reported in the MDS assessment. 
Based on the scoring algorithm a resident is classified as 
having very severe, severe, moderately severe, moderate, 
mild, very mild, or no impairment. 

For analyses dependent on resident-specific (MDS) data 
only, we included every qualifying assessment regardless of 
whether the facility from which it originates has an 
identifiable record in OSCAR. However, where resident- 
specific data are summarized by OSCAR facility-level data 
(ownership, certification, bed size category, or chain 
affiliation), we excluded every MDS assessment from a 
nursing home 1) that does not have an identifiable record in 
OSCAR, or 2) for which the facility-level data are missing or 
invalid in the OSCAR record for that nursing home. 

Nursing Homes in Puerto Rico and the Virgin Islands were 
excluded from the analysis. Fewer than 10 certified nursing 
homes operate in each of these entities. 

References: 

Morris JN, Fries BE, Mehr DR, Hawes C, Phillips C, Mor V, 
Lipsitz LA. MDS Cognitive Performance Scale : J Gerontol. 
1994 Jul 49 (4): M174-82. 

Pressure Ulcers 



■ More than 50 percent of residents in nursing 
homes with fewer than 50 beds have no cognitive 
impairment. 

Table 15 

■ In four states — Arizona, Florida, Nevada, and New 
Jersey — the percentage of residents with no cognitive 
impairment is 35% or greater; only in Hawaii is the 
percentage of residents with very severe cognitive 
impairment greater than 15%. 

Tablel6(c) 

Technical Notes: 

The source of these data is the Minimum Data Set (MDS). 
These data are collected and reported by nursing homes. 



The median pressure ulcer prevalence across all 
nursing homes increased steadily from 7.1 to 7.9 
percent from 1998 to 2001. 7.4, and 7.7 in the third 
quarters of 1998, 1998, and 2000, respectively. 
Although the third quarter median prevalence 
(prevalence at the 50 th percentile) of pressure ulcers 
increased from 7.1 in 1998 (third quarter) to 7.9 in 
2001. 
Figure 16; Tables 6, 17, and 18 

Near the beginning of the period (1999, third quarter), 
the median prevalence of pressure ulcers was greater 
than 10% in the District of Columbia only. In the same 
quarter of 2001, the median prevalence exceeded 10% 
in seven states: California, District of Columbia, 
Maryland, Nevada, New Jersey, Pennsylvania, and 
Virginia. 



87 



Figure 17, Table 16 

Only one governmental unit, the District of Columbia, 
had a 90 th percentile pressure ulcer prevalence 
greater than 20% in 2001. 

Figures 17 and 18, Table 18 

The quarterly median incidence of pressure ulcers has 
increased slightly since 1998, but is still quite low — 
below 2.3% in 2001. 

Figure 19; Tables 6, 19, 20 

Government-owned facilities have the lowest median 
pressure ulcer incidence and prevalence rates; for- 
profit facilities have the highest. 
Tables 17 and 19 

Median pressure ulcer prevalence rates are higher in 
Medicare-only certified nursing homes than in 
Medicaid-only and dually certified nursing homes 

Table 17 

Medicaid-only certified facilities have the lowest 
median pressure ulcer prevalence rates 

Table 17 



For analyses dependent on resident-specific (MDS) data 
only, we included every qualifying assessment regardless 
of whether the facility from which it originates has an 
identifiable record in OSCAR. However, where resident- 
specific data are summarized by OSCAR facility-level data 
(ownership, certification, bed size category, or chain 
affiliation), we excluded every MDS assessment from a 
nursing home 1) that does not have an identifiable record 
in OSCAR, or 2) for which the facility-level data are missing 
or invalid in the OSCAR record for that nursing home. 

Nursing Homes in Puerto Rico and the Virgin Islands were 
excluded from the analysis. Fewer than 10 certified 
nursing homes operate in each of these entities. 



Technical Notes: 



The source of these data is the Minimum Data Set (MDS). 
These data are collected and reported by nursing homes. 

We defined pressure ulcer as any pressure ulcer of stage 
2 or greater. 

Prevalence was assessed using the midpoint of each 
calendar quarter as a starting point. Cases of interest 
occurred 60 days before or after the midpoint and were 
unique. That is, if a resident had two assessments 
collected during the observation period, only the one 
closest in time to the starting point was retained. 
Prevalence was calculated as the number of identified 
cases divided by the number of eligible residents at 
baseline (the midpoint estimate of the nursing home 
population). 

Incidence of pressure ulcers was calculated by identifying 
all pressure ulcer cases that are not noted on admission or 
readmission assessments during a quarter of interest 
(e.g., January 1 to March 31). Each assessment indicating 
presence of a pressure ulcer is then compared with the 
resident's immediately preceding assessment. If the 
preceding comparison assessment indicates that no 
pressure ulcer is present, then the index assessment is 
considered an incident pressure ulcer. Incident pressure 
ulcers constitute the numerator of the quarter. The 
denominator consists of all eligible assessments closest to 
the midpoint of the quarter (but not more than 60 days 
from the midpoint) that indicate presence of no pressure 
ulcers. 



88 



Restraint Use 

■ In 5 States (Arkansas, California, Louisiana, 
Mississippi, and Texas), the median prevalence 
(prevalence at the 50 th percentile) of the use of 
restraints was 15 percent or greater in the third 
quarter of 2001 

Figures 20 and 21, Table 22 

■ The median prevalence of restraints has decreased 
from 7.5 percent to 6.3 percent over the years 
examined, while the median incidence of new restraint 
use has remained steady at about 1 percent. 

Tables 6, 21, 22, 23, and 24 

■ Non-profit facilities had the lowest median prevalence 
of restraint use during the period (1999-2001), and 
this prevalence steadily declined during that period. 

Table 21 



Prevalence was assessed using the midpoint of each 
calendar quarter as a starting point. Cases of interest 
occurred 60 days before or after the midpoint and were 
unique. That is, if a resident had two assessments collected 
during the observation period, only the one closest in time 
to the starting point was retained. Prevalence was 
calculated as the number of identified cases divided by the 
number of eligible residents at baseline (the midpoint 
estimate of the nursing home population). 

Incidence of restraint use was calculated by identifying all 
restraint cases that are not noted on admission or 
readmission assessments during a quarter of interest (e.g., 
January 1 to March 31). Each assessment indicating 
presence of a restraint is then compared with the resident's 
immediately preceding assessment. If the preceding 
comparison assessment indicates that no restraints are 
present, then the index assessment is considered an 
incident restraint. Incident restraints constitute the 
numerator of the quarter. The denominator consists of all 
eligible assessments closest to the midpoint of the quarter 
(but not more than 60 days from the midpoint) that indicate 
presence of no restraints. 



For-profit facilities had the highest prevalence of the 
use of physical restraints, although this prevalence 
declined over this three-year period. 

Table 21 

The prevalence of restraint use at the 10 th percentile is 
greater than zero in six states: Arkansas, California, 
Georgia, Louisiana, Tennessee, and Texas 



For analyses dependent on resident-specific (MDS) data 
only, we included every qualifying assessment regardless of 
whether the facility from which it originates has an 
identifiable record in OSCAR. However, where resident- 
specific data are summarized by OSCAR facility-level data 
(ownership, certification, bed size category, or chain 
affiliation), we excluded every MDS assessment from a 
nursing home 1) that does not have an identifiable record in 
OSCAR, or 2) for which the facility-level data are missing or 
invalid in the OSCAR record for that nursing home. 



Figure 20, Table 22 (2001, third quarter) 



Technical Notes: 

The source of these data is the Minimum Data Set (MDS). 
These data are collected and reported by nursing homes. 

To estimate the incidence and prevalence of physical 
restraint use, we adopted a conservative approach, 
considering only individuals whom the nursing home 
reported were in a trunk restraint, limb restraint, or some 
sort of restraining chair at least once during the 7 days 
prior to the assessment. It is important to note that we did 
not report the use of bed rails for this measure, because of 
our concern about biases in the measurement of this item. 



Nursing Homes in Puerto Rico and the Virgin Islands were 
excluded from the analysis. Fewer than 10 certified nursing 
homes operate in each of these entities. 



89 



Tube Feeding, Weight Loss, and Dehydration 



Figure 24, Table28 



The prevalence of tube feeding has been fairly steady, 
at 4.2 - 4.4 percent, since the beginning of 1999. 

Tables 25 and 26 

Non-profit facilities had the lowest 90 th percentile 
prevalence of tube feeding for the three years (1999- 
2001) and this rate declined from 11.3% (in the fourth 
quarter of 1999) to 10.5%. 

Table 25 

The tube feeding prevalence at the 90 th percentile for 
Medicare-only certified facilities was lower than 9 
percent in 2001, while the prevalence at the 90 th 
percentile was over 13 percent for dually certified 
nursing homes. 

Table 25 

Facilities with fewer than 50 beds had the lowest tube 
feeding prevalence at the 90 th percentile, slightly 
above 10%, which was 20% to 40% lower than all 
other size categories. 

Table 25 

The median prevalence of tube feeding ranged from 
0.7 percent in Iowa to 10.7 percent in the District of 
Columbia. 

Figures 22 and 23, Table 25 

In the third quarter of 2001, the median prevalence 
(prevalence at the 50 th percentile) of weight loss in 
nursing home residents was 9.5 percent. This 
represents no change from the median prevalence 
during the third quarter of 2000, but is lower than the 
median prevalence of any quarter of 1999. 

Table 27 



Washington, Idaho, and Vermont had the highest 
median prevalence of weight loss, 12 percent or 
greater, in the third quarter of 2001 



The prevalence of dehydration at the 90 th percentile 
has decreased from 2.4 percent in the third quarter of 
1999 to 1.5 percent in the third quarter of 2001. 



Figure 25, Tables 29 and 30 

The prevalence of dehydration in for-profit nursing 
homes is lower than in government and non-profit 
facilities, and it has decreased since 1999. 

Table 29 

The 90 th percentile prevalence of dehydration in 
Medicare-only certified nursing homes is often three 
to five times greater than in homes in other 
certification categories. 

Table 29 

No state had a 10 th percentile prevalence of 
dehydration greater than zero in the third quarter of 
2001; only four states — Alaska, Montana, Vermont, 
and Washington — had 90 th percentile rates 3% 
percent or greater. The prevalence at the 90 th 
percentile was equal to or greater than 3 percent in 
six states in the third quarter of 2000, and in fourteen 
states in the third quarter of 1999. 

Figure 26, Table 30 

To estimate the prevalence of feeding tube use in nursing 
homes we identified all individuals whom the nursing home 
reported had a feeding tube, defined as "any tube that can . 
deliver food/nutritional substances/fluids/medications 
directly into the gastrointestinal system." We excluded 
individuals admitted to the nursing home with feeding tubes 
because we wanted to separate the use of feeding tubes by 
nursing homes from the use of feeding tubes by hospitals. 

To estimate the prevalence of weight loss , we identified all 
individuals whom the nursing home indicated had 
experienced weight loss of more than 5 percent in the 30 
days prior the assessment or more than 10 percent in the 
last 180 days. It is important to note that we excluded 
individuals who were reported by the nursing home to be in 
end-stage disease or who were receiving hospice care. 

To estimate the prevalence of dehydration , we identified all 
individuals for whom the nursing home indicated that fluid 
output exceeds fluid input. It is important to note that we 



90 



excluded individuals who were reported by the nursing 
home to be in end-stage disease or who were receiving 
hospice care. 

For analyses dependent on resident-specific (MDS) data 
only, we included every qualifying assessment regardless of 
whether the facility from which it originates has an 
identifiable record in OSCAR. However, where resident- 
specific data are summarized by OSCAR facility-level data 
(ownership, certification, bed size category, or chain 
affiliation), we excluded every MDS assessment from a 
nursing home 1) that does not have an identifiable record in 
OSCAR, or 2) for which the facility-level data are missing or 
invalid in the OSCAR record for that nursing home. 

Nursing Homes in Puerto Rico and the Virgin Islands were 
excluded from the analysis. Fewer than 10 certified nursing 
homes operate in each of these entities. 



Technical Notes: 

The source of these data is the Minimum Data Set (MDS). These data are collected and reported by nursing homes. 



91 



Incontinence 



Nursing homes report that more than one third of their 
residents experience severe bowel or bladder 
incontinence. 

Figures 27, Tables 31 and 32 

The median prevalence of severe bowel or bladder 
incontinence has varied little since 1998; the range 
was 35.1 to 35.9 percent of residents during this 
period. 

Figure 27, Tables 6 and 31 

The reported prevalence of incontinence varies among 
states. In 2 states, the median (50 th percentile) 
prevalence of severe incontinence is more than 50 
percent, while 2 states report levels below 20 percent 

Figures 28 and 29, Table 32 (2001, third quarter) 

Non-profit facilities had the lowest median prevalence 
of severe incontinence, approximately 30%, over the 
three-year period (1999-2001), with low 10 th percentile 
prevalence rates, generally below 10%. 

Table 31 

Medicare-only certified facilities had the lowest 
median prevalence of severe incontinence, compared 
to facilities in other certification categories, over the 
three-year period. The prevalence at the 10 th 
percentile was also the lower than for Medicaid-only 
and dually certified facilities. 



■ During the third quarter of 2001, Georgia, the District 
of Columbia, Alabama, Hawaii, and North Carolina had 
the highest prevalence of severe incontinence at the 
10 th percentile. 

Figure 28, Table 32 

Technical Notes: 

The source of these data is the Minimum Data Set (MDS). 
These data are collected and reported by nursing homes. 

For this measure, incontinence, we identified persons who 
were incontinent of bladder or of bowel on almost all 
occasions. This is a measure of severe incontinence. It is 
important to note that this differs from the Quality Indicator 
on incontinence that is used in the survey process. 

For analyses dependent on resident-specific (MDS) data 
only, we included every qualifying assessment regardless of 
whether the facility from which it originates has an 
identifiable record in OSCAR. However, where resident- 
specific data are summarized by OSCAR facility-level data 
(ownership, certification, bed size category, or chain 
affiliation), we excluded every MDS assessment from a 
nursing home 1) that does not have an identifiable record in 
OSCAR, or 2) for which the facility-level data are missing or 
invalid in the OSCAR record for that nursing home. 

Nursing Homes in Puerto Rico and the Virgin Islands were 
excluded from the analysis. Fewer than 10 certified nursing 
homes operate in each of these entities. 



Table 31 

Over the three-year period, nursing homes with fewer 
than 50 beds had lower median prevalence of severe 
incontinence rates than facilities with more beds. — 
under 23.5 percent in every quarter since the first 
quarter 1999. 

Table 31 



92 



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v.. 



Table 13. Distribution of Activity of Daily Living (ADL) Impairments in Nursing Home 
Residents by Type of Nursing Home: United States, 1999-2001 



1999 




Percent of Residents by Number of ADL Impairments 









1 


2 


3 


4 


5 


Nation 


36.1 


9.5 


8.9 


10.0 


16.4 


19.0 


Ownership 














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35.2 


8.7 


8.9 


10.2 


16.8 


20.2 


Voluntary nonprofit 


37.3 


10.7 


9.1 


9.8 


16.2 


16.9 


Government 


32.8 


9.7 


9.1 


10.4 


16.0 


21.9 


Certification 














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34.3 


9.0 


9.0 


10.3 


17.1 


20.2 


Medicare only 


43.7 


13.1 


8.8 


8.7 


13.6 


12.0 


Medicaid only 


41.2 


8.0 


8.2 


9.7 


13.8 


19.1 


Bed Size 














Less than 50 


43.4 


12.6 


8.5 


8.6 


13.7 


13.2 


50-99 


35.5 


8.9 


8.7 


9.9 


17.2 


19.7 


100 - 199 


34.6 


8.9 


9.0 


10.2 


17.2 


20.2 


200 or more 


33.6 


9.2 


9.4 


11.2 


16.1 


20.5 




2000 




Percent of Residents by Number of ADL Impairments 









1 


2 


3 


4 


5 


Nation 


35.6 


9.5 


8.8 


10.0 


17.2 


18.9 


Ownership 














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35.0 


8.7 


8.7 


10.1 


17.6 


20.0 


Voluntary nonprofit 


36.6 


11.0 


9.0 


9.8 


16.8 


16.8 


Government 


32.9 


9.8 


8.9 


10.1 


16.6 


21.8 


Certification 














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34.1 


9.0 


8.8 


10.2 


17.9 


20.0 


Medicare only 


42.7 


13.8 


8.8 


8.7 


14.5 


11.6 


Medicaid only 


40.9 


8.1 


8.2 


9.7 


14.0 


19.1 


Bed Size 














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43.0 


12.9 


8.5 


8.5 


14.2 


12.8 


50-99 


35.1 


9.1 


8.6 


9.7 


17.9 


19.6 


100 - 199 


34.2 


8.9 


8.8 


10.2 


17.9 


20.0 


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33.3 


9.3 


9.2 


11.0 


16.8 


20.3 




2001 




Percent of Residents by Number of ADL Impairments 









1 


2 


3 


4 


5 


Nation 


34.8 


9.4 


8.7 


9.9 


18.2 


18.9 


Ownership 














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34.4 


8.6 


8.5 


10.0 


18.7 


19.9 


Voluntary nonprofit 


35.9 


10.9 


9.1 


9.7 


17.8 


16.7 


Government 


33.0 


9.9 


8.8 


9.9 


17.0 


21.3 


Certification 














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33.4 


8.9 


8.7 


10.1 


18.9 


20.0 


Medicare only 


42.2 


14.0 


8.9 


8.6 


15.4 


10.8 


Medicaid only 


42.3 


7.8 


7.8 


9.5 


14.0 


18.6 


Bed Size 














Less than 50 


42.4 


13.5 


8.7 


8.3 


15.2 


12.0 


50-99 


34.7 


8.9 


8.4 


9.7 


18.7 


19.6 


100 - 199 


33.6 


8.8 


8.7 


10.0 


19.0 


19.9 


200 or more 


32.3 


8.6 


9.1 


11.1 


17.9 


21.0 


Chain Status 














No 


35.1 


9.6 


8.8 


10.0 


17.8 


18.8 


Yes 


33.6 


8.5 


8.3 


9.6 


20.4 


19.6 



Source: MDS and OSCAR 



112 



ADL Impairments by 
Type of Nursing Home 



Table 14 (a). Distribution of Activity of Daily Living (ADL) Impairments in Nursing Home 
Residents: United States, 1999 

Percent by Number of ADL Impairments 





Residents 





1 


2 


3 


4 


5 


Nation 


3,309,646 


36.1 


9.5 


8.9 


10.0 


16.4 


19.0 


Alabama 


44,289 


32.2 


8.2 


8.5 


10.3 


15.1 


25.7 


Alaska 


1,328 


37.3 


8.1 


7.1 


10.0 


14.8 


22.6 


Arizona 


42,450 


41.1 


12.1 


9.2 


10.0 


14.5 


13.2 


Arkansas 


38,201 


39.8 


9.4 


7.4 


9.0 


13.5 


20.9 


California 


287,330 


31.1 


9.3 


9.6 


10.1 


18.0 


22.0 


C o lo ra d o 


38,650 


47.0 


9.6 


9.4 


9.1 


13.7 


11.2 


Connecticut 


62,264 


42.4 


10.3 


8.9 


9.7 


14.0 


14.7 


Delaware 


8,197 


38.4 


8.7 


8.9 


10.2 


14.8 


19.0 


District of Columbia 


5,246 


33.3 


8.2 


9.9 


11.3 


16.0 


21.3 


Florida 


202,793 


37.7 


9.4 


9.6 


9.8 


16.3 


17.3 


G eorgia 


65,471 


33.1 


8.8 


9.2 


11.0 


15.3 


22.7 


Hawaii 


7,149 


28.5 


8.1 


8.5 


9.7 


15.4 


29.8 


Idaho 


12,906 


42.7 


8.9 


8.8 


10.1 


15.6 


13.9 


Illinois 


185,371 


46.9 


9.0 


8.2 


8.8 


12.9 


14.1 


In d ia n a 


94,911 


40.5 


10.9 


7.6 


8.8 


14.9 


17.3 


Iowa 


55,707 


43.2 


11.1 


8.7 


9.8 


14.5 


12.6 


Kansas 


44,881 


43.9 


8.5 


7.6 


9.1 


15.8 


15.2 


Kentucky 


52,015 


27.8 


10.8 


8.7 


9.0 


16.9 


26.8 


Louisiana 


59,188 


37.7 


9.2 


7.6 


10.0 


12.3 


23.2 


Maine 


19,234 


23.7 


7.5 


7.5 


8.6 


31.3 


21.3 


Maryland 


63,691 


32.0 


8.8 


9.3 


10.1 


18.1 


21.7 


Massachusetts 


113,260 


38.0 


11.4 


8.9 


8.2 


17.6 


15.9 


Michigan 


90,064 


36.0 


9.2 


10.3 


11.1 


15.9 


17.5 


Minnesota 


75,782 


33.6 


9.9 


8.8 


8.3 


21.8 


17.5 


Mississippi 


30,250 


34.1 


8.2 


7.3 


9.0 


17.2 


24.3 


Missouri 


92,527 


42.4 


8.8 


8.4 


8.9 


14.8 


16.7 


M o n ta n a 


13,444 


44.0 


11.3 


8.9 


8.8 


13.4 


13.5 


Nebraska 


30,462 


40.3 


9.1 


8.2 


9.0 


18.1 


15.3 


Nevada 


10,503 


37.4 


9.4 


9.3 


12.4 


15.4 


16.2 


New Hampshire 


13,973 


41.2 


11.0 


8.6 


9.0 


15.6 


14.5 


New Jersey 


100,500 


39.2 


9.1 


9.7 


11.0 


14.6 


16.3 


New Mexico 


13,481 


42.6 


9.5 


9.7 


9.9 


14.4 


14.0 


New York 


202,589 


29.6 


9.4 


10.3 


14.0 


15.7 


21-1. 


North Carolina 


76,084 


32.0 


9.0 


9.4 


10.9 


15.6 


23.2 


North Dakota 


11,518 


33.9 


12.1 


9.1 


9.1 


17.5 


18.3 


Ohio 


184,351 


34.9 


9.8 


8.7 


9.3 


18.1 


19.0 


Oklahoma 


49,553 


40.6 


9.9 


7.8 


9.1 


13.2 


19.3 


Oregon 


27,633 


37.0 


9.3 


9.0 


10.7 


17.5 


16.5 


Pennsylvania 


194,611 


31.7 


9.0 


7.9 


8.9 


21.0 


21.5 


Rhode Island 


18,071 


40.6 


10.9 


10.2 


10.4 


13.3 


14.6 


South C arolina 


34,258 


29.3 


9.4 


10.1 


12.4 


15.9 


22.9 


South Dakota 


12,507 


40.5 


8.2 


6.9 


8.1 


19.2 


17.0 


Tennessee 


77,250 


30.4 


10.0 


9.5 


10.8 


16.2 


23.1 


Texas 


193,761 


35.1 


8.7 


8.1 


10.6 


15.7 


21.8 


Utah 


16,656 


40.4 


10.8 


10.2 


9.5 


16.1 


12.9 


Vermont 


6,614 


30.8 


11.1 


9.2 


9.5 


20.7 


18.7 


Virginia 


58,931 


27.1 


9.1 


10.5 


11.7 


17.4 


24.2 


Washington 


63,240 


35.1 


9.9 


9.2 


9.3 


19.2 


17.3 


West Virginia 


24,309 


31.3 


10.8 


8.0 


10.0 


17.6 


22.3 


W isconsin 


76,947 


42.7 


9.4 


9.0 


10.5 


14.5 


13.9 


Wyoming 


5,245 


45.3 


9.0 


10.2 


10.1 


12.9 


12.6 



Source: MDS 



113 



ADL Impairments in 
Nursina Hnmp RpsiHpnts 



Table 14 (b). Distribution of Activity of Daily Living (ADL) Impairments in Nursing Home 
Residents: United States, 2000 

Percent of Residents by Number of ADL Impairments 





Residents 





1 


2 


3 


4 


5 


Nation 


3,303,369 


35.6 


9.5 


8.8 


10.0 


17.2 


18.9 


Alabama 


45,896 


32.9 


8.0 


8.1 


10.2 


15.6 


25.2 


Alaska 


1,417 


36.4 


8.4 


6.6 


9.2 


16.0 


23.4 


Arizona 


41,260 


41.6 


10.1 


9.3 


10.1 


16.0 


12.9 


Arkansas 


36,623 


39.1 


9.1 


7.3 


9.3 


14.2 


21.0 


California 


282,158 


30.6 


9.1 


9.5 


10.0 


18.5 


22.3 


Colorado 


39,222 


45.2 


9.8 


9.2 


9.4 


14.7 


11.7 


Connecticut 


63,079 


40.9 


10.6 


9.0 


9.9 


15.0 


14.6 


Delaware 


8,256 


36.6 


9.1 


9.6 


10.1 


15.6 


19.1 


District of C olumbia 


5,354 


33.9 


9.0 


9.7 


10.4 


16.7 


20.4 


Florida 


207,849 


37.0 


9.6 


9.4 


9.6 


17.2 


17.2 


G eorgia 


65,073 


32.6 


8.7 


9.3 


11.3 


15.6 


22.5 


Hawaii 


7,441 


26.7 


9.4 


8.6 


9.6 


15.9 


29.8 


Idaho 


13,191 


41.4 


8.9 


8.3 


9.6 


16.8 


14.9 


Illinois 


182,569 


47.1 


9.2 


7.9 


8.7 


13.3 


13.8 


Indiana 


94,347 


39.0 


10.9 


7.4 


8.8 


16.2 


17.7 


Iowa 


55,039 


41.3 


11.7 


8.7 


9.5 


15.8 


13.0 


Kansas 


43,839 


43.4 


8.3 


7.7 


9.3 


16.1 


15.2 


Kentucky 


51,234 


28.0 


11.6 


8.0 


8.5 


17.9 


25.9 


Louisiana 


56,903 


37.6 


9.4 


7.6 


10.1 


12.6 


22.7 


Maine 


19,387 


22.9 


7.3 


6.9 


8.6 


33.3 


21.0 


Maryland 


65,095 


31.1 


8.9 


8.8 


10.4 


19.0 


21.8 


Massachusetts 


112,695 


37.5 


11.4 


8.7 


8.5 


18.5 


15.3 


Michigan 


89,828 


35.5 


9.6 


9.9 


10.9 


16.8 


17.3 


Minnesota 


75,047 


33.1 


9.8 


8.9 


8.1 


22.5 


17.6 


Mississippi 


29,244 


34.1 


7.5 


6.7 


8.4 


18.2 


25.0 


Missouri 


87,206 


43.1 


8.8 


8.3 


9.0 


14.8 


16.0 


M o n ta n a 


13,634 


44.6 


10.4 


8.6 


8.7 


14.2 


13.5 


N e b ra s k a 


30,027 


41.5 


9.0 


7.9 


8.7 


18.1 


14.9 


Nevada 


11,649 


37.1 


9.6 


9.4 


11.6 


16.6 


15.8 


New Hampshire 


14,433 


42.4 


11.0 


8.4 


8.5 


16.1 


13.6 


New Jersey 


105,521 


39.4 


8.8 


9.4 


11.0 


15.1 


16.3 


New Mexico 


13,476 


42.1 


9.0 


10.0 


9.8 


14.8 


14.2 


New York 


210,847 


29.9 


9.5 


10.0 


13.8 


16.2 


20.7" 


North Carolina 


78,104 


31.4 


8.7 


9.4 


10.8 


16.4 


23.3 


North Dakota 


10,910 


32.8 


10.6 


8.6 


8.7 


19.7 


19.6 


Ohio 


185,351 


33.7 


9.9 


8.5 


9.2 


19.9 


18.9 


klahoma 


47,815 


41.8 


9.4 


7.6 


9.2 


13.2 


18.9 


Oregon 


26,602 


37.5 


9.2 


9.1 


10.4 


18.2 


15.7 


Pennsylvania 


191,351 


30.5 


9.0 


7.7 


8.7 


22.3 


21.8 


R hode Island 


18,390 


40.1 


11.2 


10.2 


9.9 


14.4 


14.2 


South Carolina 


35,480 


28.5 


9.5 


9.9 


12.8 


16.5 


22.8 


South Dakota 


12,235 


38.7 


8.6 


7.3 


8.0 


19.6 


17.8 


Tennessee 


76,411 


28.9 


10.5 


9.5 


10.7 


16.9 


23.4 


Texas 


189,978 


35.4 


8.8 


7.9 


10.7 


15.7 


21.5 


Utah 


17,236 


39.1 


10.2 


10.3 


9.6 


17.4 


13.4 


Vermont 


6,635 


30.7 


11.7 


8.6 


9.2 


20.1 


19.6 


Virginia 


59,637 


26.3 


8.9 


10.5 


11.5 


18.9 


23.8 


Washington 


62,591 


34.2 


10.4 


8.8 


9.0 


20.2 


17.5 


W est Virginia 


24,135 


32.9 


10.1 


7.5 


9.8 


17.9 


21.8 


W isconsin 


76,518 


42.2 


9.3 


9.1 


10.4 


15.2 


13.8 


Wyoming 


5,151 


45.2 


9.0 


9.3 


9.6 


13.8 


13.1 



Source: MDS 



114 



ADL Impairments in 

Nnrsina Hnmp Rpsirlpnts 



Table 14 (c). Distribution of Activity of Daily Living (ADL) Impairments in Nursing Home 
Residents: United States, 2001 

Percent of Residents by Number of ADL Impairments 





Residents 





1 


2 


3 


4 


5 


Nation 


3,317,005 


34.8 


9.4 


8.7 


9.9 


18.2 


18.9 


Alabama 


47,698 


32.8 


8.2 


8.3 


9.9 


16.4 


24.4 


Alaska 


1,398 


36.5 


8.5 


6.6 


8.7 


16.1 


23.7 


Arizona 


40,556 


41.7 


9.7 


8.8 


10.1 


17.0 


12.6 


Arkansas 


36,140 


39.6 


9.0 


7.4 


9.2 


14.0 


21.0 


California 


276,840 


30.0 


8.7 


9.1 


9.9 


19.6 


22.7 


C olorado 


39,581 


44.7 


9.6 


9.0 


9.3 


15.6 


11.8 


Connecticut 


64,293 


39.9 


10.2 


8.9 


9.6 


16.3 


15.0 


Delaware 


8,834 


36.5 


8.1 


9.1 


10.5 


17.2 


18.7 


District of Columbia 


5,540 


31.2 


8.6 


9.9 


11.9 


19.1 


19.3 


Florida 


210,535 


36.4 


9.4 


9.3 


9.7 


18.3 


16.9 


G eorgia 


65,781 


31.7 


8.1 


8.8 


11.0 


17.0 


23.4 


Hawaii 


7,796 


25.5 


8.9 


7.9 


9.0 


17.9 


30.8 


Idaho 


13,739 


39.7 


8.8 


7.8 


8.8 


19.1 


15.8 


Illinois 


181,293 


46.4 


8.9 


8.2 


8.9 


13.9 


13.7 


In d ia n a 


93,695 


37.3 


11.6 


7.2 


8.8 


17.1 


17.9 


Iowa 


55,239 


39.9 


11.5 


8.9 


9.2 


16.9 


13.4 


Kansas 


41,497 


42.8 


7.8 


7.3 


9.2 


17.4 


15.4 


Kentucky 


51,283 


28.6 


10.6 


7.7 


8.5 


18.9 


25.8 


Louisiana 


55,175 


36.7 


9.3 


7.9 


10.1 


13.3 


22.8 


Maine 


19,436 


22.5 


7.7 


7.3 


8.2 


33.9 


20.4 


M a ry la n d 


67,546 


30.1 


9.0 


9.0 


10.1 


20.6 


21.3 


Massachusetts 


111,797 


36.8 


11.5 


8.7 


8.7 


19.1 


15.1 


Michigan 


91,555 


34.3 


9.8 


9.6 


10.7 


18.5 


17.2 


Minnesota 


75,939 


32.8 


10.1 


8.8 


8.2 


22.8 


17.4 


Mississippi 


29,235 


33.6 


7.1 


6.5 


8.6 


18.7 


25.5 


Missouri 


84,713 


43.0 


8.7 


8.0 


9.2 


15.6 


15.6 


Montana 


13,634 


44.9 


10.2 


8.7 


8.1 


15.1 


12.9 


Nebraska 


29,850 


39.8 


9.2 


7.9 


8.8 


19.1 


15.1 


Nevada 


11,884 


36.7 


9.4 


9.1 


11.1 


16.6 


17.1 


New Hampshire 


14,445 


40.6 


11.3 


8.7 


8.3 


17.5 


13.6 


New Jersey 


109,959 


38.0 


8.8 


9.3 


10.8 


16.7 


16.4 


New Mexico 


13,731 


43.5 


8.9 


9.3 


9.2 


14.9 


14.2 


New York 


217,294 


29.5 


9.5 


10.0 


13.7 


16.9 


20.5 


North C arolina 


80,724 


31.4 


8.3 


9.2 


10.7 


17.2 


23.1* 


North Dakota 


11,219 


32.3 


11.3 


8.6 


8.3 


20.8 


18.8 


Ohio 


187,379 


32.3 


9.9 


8.5 


8.9 


21.8 


18.6 


klahoma 


46,447 


42.1 


9.2 


7.6 


9.4 


13.7 


18.0 


Oregon 


27,177 


36.7 


9.3 


9.3 


10.4 


19.5 


14.8 


Pennsylvania 


189,557 


28.7 


9.0 


7.7 


8.4 


23.6 


22.5 


Rhode Island 


18,506 


39.0 


11.6 


10.1 


9.7 


15.3 


14.3 


South Carolina 


35,879 


28.7 


9.4 


9.7 


12.6 


17.2 


22.4 


South Dakota 


12,251 


37.7 


8.7 


6.5 


7.5 


22.2 


17.4 


Tennessee 


77,562 


28.8 


11.0 


9.1 


10.4 


17.6 


23.1 


Texas 


187,831 


34.7 


8.5 


7.9 


11.0 


16.3 


21.6 


Utah 


17,427 


37.7 


10.6 


10.7 


9.2 


18.6 


13.3 


Vermont 


6,745 


29.1 


11.1 


8.4 


8.2 


23.8 


19.3 


Virginia 


62,070 


26.0 


8.8 


10.1 


11.4 


19.9 


23.9 


Washington 


62,351 


32.1 


10.0 


9.1 


9.0 


22.2 


17.6 


W est V irginia 


24,321 


34.1 


10.5 


7.8 


8.7 


17.9 


21.0 


W isconsin 


76,529 


41.1 


9.1 


8.9 


10.4 


16.8 


13.7 


W yoming 


5,099 


44.8 


9.0 


8.5 


7.8 


15.9 


14.0 



Source: MDS 



115 



ADL Impairments in 
Nnrqina Hnmp Rpsirfpnts 



Table 15. Distribution of Cognitive Impairments in Nursing Home Residents by Type of 
Nursing Home: United States, 1999-2001 



1999 



Percent of Residents 



No 
Impairment 



Very Mild 
Impairment 



Mild 
Impairment 



Moderately 
Impairment 



Mdderately 

Severe 

Impairment 



Severe 
Impairment 



Very Severe 
Impairment 



(CPS = 0) 



(CPS = 1) (CPS = 2) (CPS = 3) (CPS = 4) 



(CPS = 5) 



(CPS = 6) 



Nation 


28.4 


12.6 


12.8 


22.5 


6.9 


7.0 


9.8 


Ownership 
















For-Profit (Proprietary) 


23.8 


12.9 


13.2 


24.3 


7.7 


7.4 


10.6 


Voluntary Non-Profit 


36.0 


11.8 


12.4 


20.0 


5.6 


6.0 


8.2 


Government 


25.2 


12.6 


11.6 


22.6 


6.9 


8.1 


12.9 


Certification 
















Medicare and Medicaid 


25.3 


12.4 


13.2 


23.8 


7.5 


7.2 


10.5 


Medicare only 


54.2 


11.7 


10.3 


12.3 


2.9 


3.9 


4.7 


Medicaid only 


14.3 


15.5 


12.7 


27.9 


7.1 


10.2 


12.4 


Bed Size 
















Less than 50 


51.7 


11.9 


9.9 


13.5 


3.0 


4.4 


5.6 


50-99 


24.7 


12.7 


13.4 


24.1 


7.0 


7.9 


10.2 


100 - 199 


24.1 


12.6 


13.3 


24.5 


7.5 


7.4 


10.5 


200 or more 


25.0 


12.6 


13.0 


23.0 


8.4 


6.6 


11.3 


2000 






Percent of Residents 


















Moderately 








No 


Very Mild 


Mild 


Moderately 


Severe 


Severe 


Very Severe 




Impairment 


Impairment 


Impairment 


Impairment 


Impairment 


Impairment 


Impairment 


Nation 


28.5 


12.6 


13.0 


22.8 


6.9 


6.8 


9.5 


Ownership 
















For-Profit (Proprietary) 


24.7 


12.9 


13.4 


24.2 


7.6 


7.1 


10.1 


Voluntary Non-Profit 


36.2 


11.8 


12.5 


20.1 


5.5 


5.9 


7.9 


Government 


25.6 


12.7 


11.8 


22.8 


6.9 


7.8 


12.4 


Certification 
















Medicare and Medicaid 


25.9 


12.4 


13.4 


23.8 


7.4 


7.0 


10.1 


Medicare only 


55.0 


11.6 


10.3 


12.4 


2.9 


3.5 


4.3 


Medicaid only 


14.2 


15.6 


12.9 


28.4 


7.1 


9.8 


12.0 


Bed Size 
















Less than 50 


52.2 


11.9 


10.1 


13.5 


3.1 


4.0 


5.2 


50-99 


25.0 


12.8 


13.5 


24.4 


7.0 


7.5 


9.8 


100 - 199 


24.8 


12.5 


13.5 


24.4 


7.5 


7.2 


10.1 


200 or more 


25.6 


12.6 


13.1 


23.2 


8.2 


6.5 


10.9 


2001 






Percent of Residents 


















Moderately 








No 


Very Mild 


Mild 


Moderately 


Severe 


Severe 


Very Severe 




Impairment 


Impairment 


Impairment 


Impairment 


Impairment 


Impairment 


Impairment 


Nation 


28.5 


12.6 


13.0 


22.8 


6.9 


6.7 


9.5 


Ownership 
















For-Profit (Proprietary) 


25.0 


12.9 


13.7 


24.3 


7.7 


6.8 


9.6 


Voluntary Non-Profit 


35.9 


11.7 


12.9 


20.5 


5.6 


5.8 


7.5 


Government 


25.8 


12.5 


12.2 


23.4 


6.8 


7.5 


11.8 


Certification 
















Medicare and Medicaid 


26.3 


12.3 


13.6 


24.0 


7.5 


6.7 


9.6 


Medicare only 


55.4 


11.6 


10.8 


12.3 


2.8 


3.3 


3.8 


Medicaid only 


14.1 


16.3 


13.2 


28.6 


7.1 


9.1 


11.5 


Bed Size 
















Less than 50 


52.9 


11.7 


10.6 


13.3 


3.0 


3.7 


4.6 


50-99 


24.7 


12.8 


13.8 


24.8 


7.1 


7.3 


9.4 


100 - 199 


25.3 


12.5 


13.7 


24.5 


7.5 


6.9 


9.6 


200 or more 


23.9 


12.6 


13.5 


24.3 


8.6 


6.4 


10.8 



















Chain Status 










No 


28.9 


12.6 


13.2 


22.8 


6.9 


6.4 


9.2 


Yes 


26.6 


12.2 


13.9 


24.1 


7.5 


7.0 


8.7 



Source: MDS and OSCAR 



116 



Cognitive Impairments by 
Type of Nursing Home 



Table 16 (a). Distribution of Cognitive Impairments in Nursing Home Residents by State: 
United States, 1999 











Percent of Residents 
















Moderately 










No 


Very Mild 


Mild 


Moderate 


Severe 


Severe 


Very Severe 






Impairment 


Impairment 


Impairment 


Impairment 


Impairment 


Impairment 


Impairment 




Residents 


(CPS=0) 


(CPS = 1) 


(CPS=2) 


(CPS = 3) 


(CPS = 4) 


(CPS = 5) 


(CPS = 6) 


Nation 


3,289,107 


28.4 


12.6 


12.8 


22.5 


6.9 


7.0 


9.8 


Alabama 


44,051 


21.9 


12.1 


12.7 


24.2 


7.9 


5.8 


15.5 


Alaska 


1,303 


28.3 


13.3 


12.5 


22.5 


7.4 


7.1 


8.9 


Arizona 


42,167 


37.7 


11.9 


10.3 


20.2 


4.7 


8.9 


6.3 


Arkansas 


37,906 


25.3 


12.6 


11.9 


23.8 


5.7 


9.0 


11.6 


California 


284,158 


30.0 


11.2 


13.1 


19.5 


9.4 


5.9 


10.9 


Colorado 


38,474 


25.6 


13.9 


15.4 


25.5 


6.4 


8.4 


4.8 


Connecticut 


62,080 


31.4 


13.1 


13.1 


22.1 


5.2 


6.7 


8.4 


Delaware 


8,153 


29.1 


13.4 


13.7 


20.7 


4.9 


6.9 


11.2 


District of Columbia 


5,218 


30.2 


11.2 


12.2 


20.2 


6.9 


5.9 


13.5 


Florida 


201,493 


35.4 


11.2 


11.1 


20.6 


6.6 


6.3 


8.7 


Georgia 


65,122 


18.9 


11.8 


13.6 


26.7 


8.7 


7.1 


13.2 


Hawaii 


7,016 


21.2 


10.0 


11.8 


23.2 


14.1 


4.3 


15.4 


Idaho 


12,809 


29.0 


12.1 


14.0 


24.7 


7.7 


7.1 


5.3 


Illinois 


184,449 


29.9 


16.1 


12.7 


23.5 


7.0 


4.5 


6.4 


Indiana 


94,402 


31.4 


13.7 


10.4 


21.9 


5.3 


8.4 


9.0 


Iowa 


55,432 


28.2 


13.1 


14.7 


25.5 


5.3 


7.5 


5.7 


Kansas 


44,665 


23.1 


13.7 


14.3 


26.9 


6.0 


9.0 


6.9 


Kentucky 


51,542 


26.7 


11.9 


11.6 


23.6 


5.8 


6.5 


13.9 


Louisiana 


58,627 


27.4 


14.1 


12.4 


20.4 


5.4 


6.7 


13.6 


Maine 


19,171 


27.5 


12.8 


11.5 


23.9 


5.5 


11.3 


7.6 


Maryland 


63,430 


32.9 


11.7 


11.1 


20.7 


5.1 


6.9 


11.5 


Massachusetts 


112,790 


33.5 


12.2 


11.2 


22.0 


5.4 


6.8 


8.7 


Michigan 


89,509 


24.0 


10.7 


14.8 


27.0 


9.2 


6.2 


8.1 


Minnesota 


75,486 


25.4 


14.0 


14.9 


24.9 


6.0 


7.6 


7.1 


Mississippi 


30,096 


27.2 


13.6 


9.8 


23.5 


6.5 


6.5 


13.0 


Missouri 


92,015 


28.4 


13.5 


12.4 


22.6 


5.3 


9.3 


8.4 


Montana 


13,367 


28.4 


13.9 


13.9 


24.4 


5.5 


7.8 


6.0 


Nebraska 


30,328 


26.6 


13.6 


14.7 


25.0 


6.2 


7.5 


6.4 


Nevada 


10,424 


34.9 


11.6 


11.5 


20.6 


5.5 


8.1 


7.9 


New Hampshire 


13,943 


26.0 


12.1 


13.5 


26.2 


6.0 


8.8 


7.6 


New Jersey 


99,958 


34.9 


12.1 


12.8 


19.7 


5.3 


5.6 


"9.7 


New Mexico 


13,404 


28.8 


13.4 


12.1 


23.1 


5.5 


10.1 


7.0 


New York 


201,433 


26.0 


12.6 


13.7 


21.0 


9.1 


5.5 


12.1 


North Carolina 


75,661 


27.1 


11.5 


11.4 


22.8 


7.1 


6.9 


13.3 


North Dakota 


11,462 


24.7 


12.5 


14.2 


27.6 


7.3 


5.8 


8.0 


Ohio 


183,432 


26.9 


12.8 


12.7 


24.5 


7.7 


6.4 


9.0 


Oklahoma 


49,158 


25.7 


15.1 


12.1 


21.9 


4.6 


9.6 


11.0 


Oregon 


27,403 


27.6 


12.4 


13.9 


25.2 


7.3 


6.5 


7.1 


Pennsylvania 


193,594 


31.3 


12.4 


11.8 


20.7 


6.4 


6.9 


10.5 


Rhode Island 


18,006 


30.1 


11.9 


13.8 


23.7 


6.4 


5.6 


8.5 


South Carolina 


34,040 


25.9 


10.9 


9.6 


23.9 


7.2 


8.6 


13.9 


South Dakota 


12,469 


22.0 


14.4 


14.2 


27.6 


6.9 


7.7 


7.2 


Tennessee 


76,714 


23.3 


11.4 


11.8 


23.9 


7.4 


9.0 


13.3 


Texas 


192,195 


23.8 


13.0 


14.6 


21.2 


6.2 


8.8 


12.4 


Utah 


16,516 


32.2 


12.7 


13.8 


21.8 


6.1 


8.5 


4.9 


Vermont 


6,597 


22.2 


13.5 


12.2 


26.8 


8.2 


8.4 


8.7 


Virginia 


58,544 


23.3 


12.2 


12.4 


23.2 


7.2 


7.8 


14.0 


Washington 


62,826 


26.0 


12.3 


14.1 


25.2 


9.6 


6.2 


6.8 


West Virginia 


24,156 


32.4 


10.5 


11.2 


21.6 


5.7 


7.3 


11.1 


Wisconsin 


76,685 


27.7 


12.4 


15.2 


24.3 


6.5 


7.3 


6.6 


Wyoming 


5,228 


26.5 


13.6 


13.0 


26.9 


5.9 


9.3 


4.8 



Source: MDS 



117 



Cognitive Impairments in 
Nursing Home Residents 



Table 16 (b). Distribution of Cognitive Impairments in Nursing Home Residents by State: 
United States, 2000 











Percent of Residents 
















Moderately 










No 


Very Mild 


Mild 


Moderate 


Severe 


Severe 


Very Severe 






Impairment 


Impairment 


Impairment 


Impairment 


Impairment 


Impairment 


Impairment 




Residents 


(CPS=0) 


(CPS=1) 


(CPS = 2) 


(CPS = 3) 


(CPS = 4) 


(CPS = 5) 


(CPS = 6) 


Nation 


3,276,257 


28.5 


12.6 


13.0 


22.8 


6.9 


6.8 


9.5 


Alabama 


45,657 


22.4 


11.8 


12.8 


24.7 


8.2 


5.5 


14.6 


Alaska 


1,386 


30.3 


14.1 


12.0 


21.2 


6.6 


6.9 


9.0 


Arizona 


40,802 


37.2 


11.8 


10.8 


20.6 


5.0 


8.6 


6.0 


Arkansas 


36,280 


24.0 


13.1 


12.3 


24.4 


5.9 


8.7 


11.5 


California 


278,414 


29.5 


11.3 


13.4 


19.8 


9.5 


5.6 


10.9 


Colorado 


38,973 


25.0 


14.0 


15.6 


26.1 


6.3 


8.4 


4.7 


Connecticut 


62,858 


31.6 


13.2 


13.5 


22.4 


5.0 


6.2 


8.2 


Delaware 


8,190 


28.7 


13.0 


15.2 


20.7 


4.9 


6.8 


10.7 


District of Columbia 


5,310 


31.3 


10.8 


13.3 


19.7 


6.6 


5.5 


12.8 


Florida 


206,132 


36.2 


10.9 


11.3 


20.3 


6.5 


6.3 


8.5 


Georgia 


64,683 


18.4 


11.2 


14.4 


27.9 


8.8 


6.6 


12.8 


Hawaii 


7,317 


21.7 


10.2 


12.3 


22.6 


14.4 


3.3 


15.4 


Idaho 


13,067 


29.7 


12.2 


14.0 


23.8 


7.2 


7.6 


5.6 


Illinois 


180,313 


30.0 


16.6 


13.1 


23.4 


6.8 


4.2 


5.9 


Indiana 


93,938 


31.0 


14.3 


10.0 


22.6 


5.3 


8.4 


8.3 


Iowa 


54,745 


27.7 


13.4 


14.7 


25.8 


5.4 


7.5 


5.6 


Kansas 


43,538 


22.7 


13.6 


14.9 


27.3 


5.8 


9.0 


6.8 


Kentucky 


50,735 


27.0 


12.1 


11.7 


23.6 


5.8 


6.3 


13.4 


Louisiana 


56,403 


27.1 


14.4 


12.7 


20.5 


5.8 


6.3 


13.1 


Maine 


19,255 


28.0 


13.4 


12.3 


23.8 


5.2 


10.0 


7.2 


Maryland 


64,567 


33.6 


11.6 


11.5 


20.3 


5.0 


7.1 


10.9 


Massachusetts 


112,060 


33.5 


11.9 


11.9 


22.1 


5.4 


6.8 


8.3 


Michigan 


89,176 


24.1 


10.7 


15.0 


27.3 


9.0 


6.2 


7.6 


Minnesota 


74,747 


24.9 


13.8 


15.2 


25.2 


5.8 


8.0 


7.0 


Mississippi 


29,110 


25.7 


14.2 


9.6 


23.8 


6.8 


6.4 


13.4 


Missouri 


86,436 


28.6 


13.7 


12.7 


23.0 


5.1 


8.9 


8.1 


Montana 


13,536 


30.2 


13.8 


12.9 


23.9 


5.3 


8.0 


5.8 


Nebraska 


29,907 


26.8 


13.4 


14.4 


25.1 


6.1 


7.9 


6.3 


Nevada 


11,554 


35.4 


10.9 


11.6 


21.2 


6.3 


7.1 


7.6 


New Hampshire 


14,394 


26.8 


12.1 


13.9 


25.7 


5.3 


8.9 


7.1 


New Jersey 


104,614 


36.3 


12.0 


12.6 


19.6 


5.2 


5.2 


9.1 


New Mexico 


13,336 


27.6 


13.7 


12.7 


23.3 


5.4 


10.2 


7.0 


New York 


208,366 


27.2 


12.3 


13.9 


21.0 


8.9 


5.1 


11.6 


North Carolina 


77,539 


26.5 


11.9 


12.0 


22.7 


7.2 


6.5 


13.1 


North Dakota 


10,851 


22.8 


12.6 


14.4 


28.7 


7.3 


6.1 


7.9 


Ohio 


184,236 


26.7 


12.9 


12.9 


25.2 


7.6 


6.3 


8.4 


Oklahoma 


47,270 


25.8 


15.8 


12.8 


22.4 


4.3 


8.8 


10.0 


Oregon 


26,344 


29.1 


11.6 


13.7 


25.1 


7.6 


6.0 


6.8 


Pennsylvania 


189,948 


31.0 


12.4 


11.7 


21.5 


6.5 


7.1 


9.9 


Rhode Island 


18,335 


29.9 


11.9 


14.5 


23.8 


6.5 


5.5 


8.0 


South Carolina 


35,263 


25.9 


11.3 


9.9 


24.1 


6.9 


8.0 


13.9 


South Dakota 


12,191 


21.7 


13.8 


14.6 


27.4 


7.7 


7.4 


7.5 


Tennessee 


75,856 


23.0 


11.3 


12.1 


24.6 


7.9 


8.2 


12.9 


Texas 


188,312 


23.0 


13.3 


14.9 


21.7 


6.3 


8.5 


12.3 


Utah 


17,097 


31.9 


12.8 


14.0 


22.4 


6.3 


7.8 


4.7 


Vermont 


6,617 


21.1 


12.6 


13.5 


27.3 


8.1 


8.5 


8.9 


Virginia 


59,323 


23.8 


12.6 


12.4 


23.6 


7.3 


7.3 


13.1 


Washington 


62,178 


26.6 


12.1 


14.5 


24.8 


9.5 


6.0 


6.6 


West Virginia 


23,854 


32.7 


10.1 


11.3 


22.2 


5.8 


7.2 


10.7 


Wisconsin 


76,115 


28.6 


12.3 


15.1 


24.2 


6.2 


7.4 


6.2 


Wyoming 


5,129 


26.3 


13.6 


13.9 


26.1 


6.3 


8.9 


4.8 



Source: MDS 



118 



Cognitive Impairments in 
Nursing Home Residents 



I 



Table 16 (c). Distribution of Cognitive Impairments in Nursing Home Residents by State: 
United States, 2001 











Percent of Residents 
















Moderately 










No 


Very Mild 


Mild 


Moderate 


Severe 


Severe 


Very Severe 






Impairment 


Impairment 


Impairment 


Impairment 


Impairment 


Impairment 


Impairment 




Residents 


(CPS = 0) 


(CPS = 1) 


(CPS = 2) 


(CPS = 3) 


(CPS = 4) 


(CPS = 5) 


(CPS = 6) 


Nation 


3,284,003 


28.5 


12.6 


13.0 


22.8 


6.9 


6.7 


9.5 


Alabama 


45,684 


22.4 


11.8 


12.8 


24.7 


8.2 


5.5 


14.6 


Alaska 


1,390 


30.3 


14.0 


11.9 


21.3 


6.6 


6.8 


9.0 


Arizona 


40,983 


37.3 


11.8 


10.8 


20.6 


5.0 


8.5 


6.0 


Arkansas 


36,405 


24.0 


13.2 


12.3 


24.4 


5.9 


8.7 


11.5 


California 


279,249 


29.5 


11.3 


13.4 


19.8 


9.5 


5.6 


10.9 


Colorado 


39,056 


25.0 


14.0 


15.6 


26.0 


6.3 


8.4 


4.7 


Connecticut 


62,920 


31.6 


13.2 


13.5 


22.4 


5.0 


6.2 


8.2 


Delaware 


8,204 


28.7 


13.0 


15.2 


20.8 


4.9 


6.8 


10.7 


District of Columbia 


5,321 


31.3 


10.7 


13.3 


19.7 


6.6 


5.5 


12.8 


Florida 


206,499 


36.2 


10.9 


11.3 


20.3 


6.5 


6.3 


8.5 


Georgia 


64,779 


18.4 


11.2 


14.4 


27.9 


8.7 


6.6 


12.7 


Hawaii 


7,325 


21.7 


10.2 


12.3 


22.5 


14.4 


3.3 


15.4 


Idaho 


13,082 


29.6 


12.2 


14.0 


23.8 


7.2 


7.6 


5.6 


Illinois 


181,477 


30.1 


16.6 


13.1 


23.4 


6.8 


4.2 


5.9 


Indiana 


93,906 


31.1 


14.3 


10.1 


22.6 


5.3 


8.4 


8.3 


Iowa 


54,770 


27.7 


13.4 


14.7 


25.8 


5.4 


7.5 


5.5 


Kansas 


43,638 


22.6 


13.7 


15.0 


27.2 


5.8 


9.0 


6.8 


Kentucky 


50,848 


27.0 


12.1 


11.8 


23.6 


5.8 


6.3 


13.3 


Louisiana 


56,475 


27.2 


14.4 


12.7 


20.5 


5.8 


6.3 


13.1 


Maine 


19,300 


28.0 


13.4 


12.3 


23.8 


5.2 


10.0 


7.2 


Maryland 


64,744 


33.6 


11.6 


11.5 


20.3 


5.0 


7.1 


10.9 


Massachusetts 


112,242 


33.5 


12.0 


11.9 


22.1 


5.4 


6.8 


8.3 


Michigan 


89,279 


24.1 


10.7 


15.0 


27.3 


9.0 


6.2 


7.6 


Minnesota 


74,787 


24.9 


13.8 


15.2 


25.2 


5.8 


8.0 


7.0 


Mississippi 


29,131 


25.7 


14.2 


9.7 


23.8 


6.8 


6.4 


13.4 


Missouri 


86,756 


28.6 


13.7 


12.7 


23.0 


5.1 


8.9 


8.0 


Montana 


13,559 


30.2 


13.8 


12.9 


24.0 


5.3 


8.0 


5.7 


Nebraska 


29,901 


26.8 


13.4 


14.4 


25.1 


6.1 


7.9 


6.3 


Nevada 


11,571 


35.4 


10.9 


11.6 


21.2 


6.3 


7.1 


7.5 


New Hampshire 


14,401 


26.8 


12.1 


13.9 


25.7 


5.3 


8.9 


7.1 


New Jersey 


104,978 


36.4 


12.0 


12.6 


19.6 


5.2 


5.2 


9.1 


New Mexico 


13,395 


27.7 


13.7 


12.7 


23.2 


5.4 


10.2 


7.0 


New York 


209,664 


27.3 


12.3 


13.9 


21.0 


8.9 


5.1 


11.5 


North Carolina 


77,669 


26.5 


11.9 


12.0 


22.7 


7.2 


6.5 


13.1 


North Dakota 


10,854 


22.9 


12.6 


14.4 


28.7 


7.3 


6.1 


7.9 


Ohio 


184,447 


26.7 


12.9 


12.9 


25.2 


7.5 


6.3 


8.4 


Oklahoma 


47,450 


25.8 


15.8 


12.9 


22.4 


4.3 


8.8 


10.0 


Oregon 


26,410 


29.2 


11.6 


13.7 


25.1 


7.6 


6.0 


6.8 


Pennsylvania 


190,378 


31.0 


12.4 


11.7 


21.4 


6.5 


7.1 


9.9 


Rhode Island 


18,345 


29.9 


11.9 


14.5 


23.8 


6.5 


5.5 


8.0 


South Carolina 


35,274 


25.9 


11.3 


9.9 


24.1 


6.9 


7.9 


13.9 


South Dakota 


12,197 


21.7 


13.7 


14.6 


27.4 


7.7 


7.4 


7.5 


Tennessee 


75,944 


23.0 


11.3 


12.1 


24.6 


7.9 


8.2 


12.9 


Texas 


188,621 


23.0 


13.3 


14.9 


21.7 


6.3 


8.5 


12.2 


Utah 


17,136 


31.9 


12.8 


14.0 


22.4 


6.3 


7.8 


4.7 


Vermont 


6,619 


21.1 


12.6 


13.5 


27.3 


8.1 


8.5 


8.9 


Virginia 


59,334 


23.8 


12.6 


12.4 


23.5 


7.3 


7.3 


13.1 


Washington 


62,197 


26.6 


12.0 


14.5 


24.8 


9.5 


6.0 


6.6 


West Virginia 


23,981 


32.8 


10.1 


11.3 


22.2 


5.7 


7.2 


10.7 


Wisconsin 


76,287 


28.6 


12.3 


15.1 


24.3 


6.2 


7.4 


6.2 


Wyoming 


5,141 


26.2 


13.7 


14.0 


26.1 


6.3 


8.9 


4.8 



Source: MDS 



119 



Cognitive Impairments in 
Nursing Home Residents 



I 



Table 17. Prevalence of Pressure Ul 


cers in Residents by State at the 90th, Median, 


and 10th 


Percentile: United States, Quarterly 1999 


■2001 
















1999 










Percent of Residents 












Quarter 1 






Quarter 2 






Quarter 3 




Quarter 4 




Percentile 


90th 


Median 


10th 


90th 


Median 


10th 


90th 


Median 


10th 


90th 


Median 


10th 


Nation 


15.5 


7.8 


2.0 


15.2 


7.7 


2.0 


14.8 


7.4 


1.8 


14.9 


7.3 


1.9 


Ownership 


























For-Profit (Proprietary) 


15.5 


8.2 


2.6 


15.2 


8.1 


2.5 


14.9 


7.8 


2.3 


14.8 


7.8 


2.4 


Voluntary Non-Profit 


15.0 


7.1 


1.8 


15.0 


7.1 


1.8 


14.2 


6.7 


1.6 


14.8 


6.7 


1.6 


Government 


14.0 


6.2 


1.2 


13.5 


6.2 


1.4 


13.4 


5.7 


0.9 


13.5 


5.8 


0.6 


Certification 


























Medicare and Medicaid 


15.4 


8.2 


2.7 


15.1 


8.0 


2.7 


14.6 


7.7 


2.5 


14.7 


7.7 


2.6 


Medicare only 


20.4 


9.5 


2.6 


20.3 


10.0 


3.0 


20.3 


9.4 


2.5 


20.9 


9.5 


2.9 


Medicaid only 


10.7 


4.3 


0.0 


10.6 


4.3 


0.0 


10.0 


4.0 


0.0 


10.3 


4.0 


0.0 


Bed Size 


























Less than 50 


18.2 


6.8 


0.0 


17.7 


7.0 


0.0 


17.5 


6.7 


0.0 


18.4 


6.7 


0.0 


50-99 


14.7 


6.8 


1.6 


14.3 


6.7 


1.6 


13.9 


6.3 


1.5 


13.9 


6.3 


1.5 


100 - 199 


14.9 


8.5 


3.4 


14.9 


8.3 


3.3 


14.4 


7.9 


3.1 


14.3 


8.0 


3.1 


200 or more 


15.7 


9.1 


4.4 


15.5 


9.2 


4.3 


15.0 


8.8 


4.2 


15.3 


8.7 


4.3 




2000 










Pe 


rcent of Residents 












Quarter 1 






Quarter 2 






Quarter 3 




Quarter 4 




Percentile 


90th 


Median 


10th 


90th 


Median 


10th 


90th 


Median 


10th 


90th 


Median 


10th 


Nation 


15.6 


7.9 


2.1 


15.2 


7.6 


2.0 


15.2 


7.7 


2.1 


15.5 


7.9 


2.2 


Ownership 


























For-Profit (Proprietary) 


15.6 


8.3 


2.6 


15.2 


8.1 


2.6 


15.2 


8.2 


2.7 


15.4 


8.3 


2.7 


Voluntary Non-Profit 


15.3 


7.1 


1.9 


15.1 


7.0 


1.7 


15.2 


7.1 


1.8 


15.5 


7.3 


1.9 


Government 


13.6 


6.2 


0.0 


13.5 


5.9 


0.0 


13.6 


5.9 


1.0 


14.6 


6.3 


1.2 


Certification 


























Medicare and Medicaid 


15.4 


8.3 


2.8 


15.0 


8.0 


2.7 


15.1 


8.0 


2.9 


15.3 


8.2 


2.9 


Medicare only 


21.4 


10.1 


2.7 


21.2 


10.0 


3.1 


21.5 


10.2 


3.1 


21.1 


10.9 


2.8 


Medicaid only 


10.4 


4.3 


0.0 


10.3 


4.1 


0.0 


10.1 


4.3 


0.0 


10.2 


4.3 


0.0 


Bed Size 


























Less than 50 


18.6 


7.3 


0.0 


18.8 


6.9 


0.0 


18.8 


7.1 


0.0 


19.0 


7.4 


0.0 


50-99 


14.6 


6.7 


1.6 


14.0 


6.7 


1.6 


14.3 


6.8 


1.6 


14.4 


6.8 


1.7 


100 - 199 


15.1 


8.6 


3.6 


14.8 


8.3 


3.3 


14.8 


8.3 


3.4 


14.9 


8.4 


3.4 


200 or more 


15.9 


9.2 


4.5 


15.4 


9.0 


4.2 


15.6 


9.0 


4.3 


15.9 


9.3 


4.5 




2001 










Percent of Residents 








~" 




Quarter 1 






Quarter 2 






Quarter 3 




Quarter 4 




Percentile 


90th 


Median 


10th 


90th 


Median 


10th 


90th 


Median 


10th 


90th 


Median 


10th 


Nation 


16.1 


8.3 


2.4 


15.7 


8.1 


2.4 


15.4 


7.9 


2.2 


15.5 


8.1 


2.3 


Ownership 


























For-Profit (Proprietary) 


16.1 


8.8 


2.9 


15.8 


8.5 


2.9 


15.5 


8.3 


2.7 


15.6 


8.6 


2.7 


Voluntary Non-Profit 


16.0 


7.7 


2.1 


15.6 


7.5 


2.2 


15.3 


7.3 


2.0 


15.4 


7.4 


2.1 


Government 


14.7 


6.3 


1.0 


14.7 


6.2 


0.9 


13.4 


6.0 


0.0 


14.4 


6.2 


0.0 


Certification 


























Medicare and Medicaid 


15.9 


8.7 


3.1 


15.6 


8.4 


3.1 


15.3 


8.2 


2.9 


15.4 


8.4 


3.0 


Medicare only 


21.7 


11.2 


3.9 


21.6 


10.7 


3.6 


21.0 


10.5 


3.6 


22.1 


10.7 


3.6 


Medicaid only 


10.4 


4.3 


0.0 


10.6 


4.2 


0.0 


10.4 


4.1 


0.0 


10.6 


4.0 


0.0 


Bed Size 


























Less than 50 


19.3 


8.0 


0.0 


19.1 


7.6 


0.0 


18.2 


7.4 


0.0 


18.8 


7.7 


0.0 


50-99 


15.0 


7.3 


1.8 


14.6 


7.0 


1.8 


14.5 


6.8 


1.7 


14.7 


6.9 


1.7 


100 - 199 


15.7 


9.0 


3.9 


15.4 


8.7 


3.6 


15.1 


8.6 


3.6 


15.1 


8.7 


3.7 


200 or more 


16.6 


9.6 


4.5 


16.0 


9.5 


4.5 


15.9 


9.3 


4.3 


16.5 


9.5 


4.3 


Chain 


























No 


15.9 


8.1 


2.3 


15.6 


7.8 


2.2 


15.3 


7.7 


2.1 


15.5 


7.8 


2.2 


Yes 


16.4 


9.3 


3.7 


16.0 


9.1 


3.6 


15.4 


8.8 


3.7 


15.5 


9.0 


3.6 



Source: MDS and OSCAR 



120 



Prevalence of Pressure Ulcers 
by State, Nursing Home Type 



Table 18. Prevalence of Pressure Ulcers in Nursing Home Residents by State at the 
90th, 50th, and 10th Percentile: United States, Third Quarter 1999-2001 



Percent of Residents 




1999 Quarter 3 




2000 Quarter 3 




2001 Quarter 3 




Percentile 


90th 


50th 


10th 


90th 


50th 


10th 


90th 


50th 


10th 


Nation 


14.8 


7.4 


1.8 


15.2 


7.7 


2.1 


15.4 


7.9 


2.2 


Alabama 


14.2 


7.2 


2.3 


13.2 


7.8 


2.6 


14.1 


7.7 


3.3 


Alaska 


12.1 


5.3 


0.0 


10.9 


6.4 


0.0 


15.1 


4.3 


0.0 


Arizona 


15.3 


8.8 


4.0 


13.7 


7.7 


3.5 


13.6 


8.8 


4.5 


Arkansas 


13.8 


7.5 


2.4 


13.6 


7.1 


2.7 


14.3 


7.4 


2.8 


California 


19.0 


9.8 


2.0 


19.1 


10.0 


2.2 


19.8 


10.2 


2.1 


Colorado 


11.5 


5.6 


1.0 


11.5 


6.1 


1.6 


11.4 


6.5 


1.8 


Connecticut 


11.2 


5.5 


1.8 


11.8 


5.9 


2.0 


12.1 


6.8 


2.1 


Delaware 


13.0 


7.1 


2.3 


14.7 


8.4 


1.4 


16.4 


8.3 


2.3 


District of Columbia 


19.8 


10.9 


2.3 


20.7 


10.3 


1.3 


20.2 


11.4 


5.6 


Florida 


16.4 


9.3 


3.7 


16.8 


9.8 


4.3 


17.1 


9.9 


4.5 


G eorgia 


14.3 


8.2 


3.6 


15.5 


9.0 


3.7 


16.9 


8.6 


3.3 


Hawaii 


18.0 


6.3 


2.1 


14.7 


7.2 


0.0 


18.9 


7.2 


2.4 


Idaho 


10.5 


4.7 


0.0 


11.6 


5.6 


1.5 


10.5 


5.8 


2.2 


Illinois 


14.0 


7.4 


1.5 


15.7 


7.2 


1.3 


15.0 


7.3 


1.1 


In d ia n a 


14.1 


7.4 


2.4 


14.8 


7.5 


2.9 


14.6 


7.9 


2.9 


Iowa 


8.3 


3.1 


0.0 


8.9 


3.6 


0.0 


9.1 


3.8 


0.0 


Kansas 


10.4 


4.8 


0.0 


12.5 


5.6 


0.0 


12.5 


5.1 


0.0 


Kentucky 


15.3 


7.8 


2.1 


14.3 


8.2 


3.2 


16.5 


9.1 


3.7 


Louisiana 


19.1 


7.5 


2.7 


18.6 


8.2 


3.1 


17.7 


9.1 


3.6 


Maine 


12.0 


7.0 


2.2 


12.6 


6.8 


1.3 


12.8 


7.1 


2.3 


Maryland 


16.7 


9.9 


2.4 


17.2 


9.0 


3.2 


17.3 


10.4 


4.4 


Massachusetts 


12.1 


7.1 


2.7 


12.6 


7.7 


2.3 


13.4 


8.0 


2.9 


Michigan 


14.8 


7.5 


2.4 


15.4 


7.9 


3.0 


16.4 


8.3 


3.1 


Minnesota 


8.3 


4.1 


0.0 


8.0 


3.9 


0.0 


8.5 


4.4 


0.3 


Mississippi 


15.9 


8.1 


2.2 


16.3 


7.6 


2.4 


15.4 


6.8 


1.6 


Missouri 


14.0 


6.3 


1.5 


13.6 


6.7 


1.8 


14.1 


6.6 


1.9 


M o n ta n a 


8.5 


4.0 


0.0 


8.6 


4.0 


0.0 


9.1 


5.0 


0.0 


Nebraska 


8.7 


3.7 


0.0 


10.3 


4.2 


0.0 


9.3 


4.2 


0.0 


Nevada 


19.8 


8.8 


0.0 


19.4 


11.1 


4.2 


17.7 


10.5 


3.9 


New Hampshire 


9.7 


5.4 


1.0 


10.6 


4.9 


0.0 


12.4 


5.9 


1.0 


New Jersey 


15.7 


9.9 


3.8 


16.8 


10.9 


4.9 


16.4 


11.2 


4.9 


New Mexico 


12.5 


7.4 


1.5 


12.4 


7.4 


3.3 


14.9 


8.1 


3.0 


New York 


15.0 


8.5 


3.4 


15.4 


8.9 


4.0 


16.0 


9.3 


4.0 


North Carolina 


15.5 


8.6 


3.5 


16.9 


8.9 


4.1 


16.0 


9.2 


4.5 


North Dakota 


7.5 


3.0 


0.0 


7.7 


3.7 


0.0 


7.7 


3.5 


0.0 


Ohio 


13.8 


7.3 


2.3 


13.5 


7.5 


2.1 


14.0 


7.5 


2.6 


klahoma 


14.3 


6.8 


1.8 


15.2 


7.5 


2.4 


15.3 


7.3 


2.4 


Oregon 


12.9 


6.7 


2.3 


14.2 


7.1 


2.8 


13.3 


8.0 


2.0 


Pennsylvania 


16.8 


9.5 


3.7 


17.1 


9.8 


3.8 


17.1 


10.1 


4.2 


Rhode Island 


13.1 


7.7 


2.7 


14.8 


7.4 


2.8 


13.4 


7.9 


2.8 


South C arolina 


15.3 


7.7 


2.6 


15.9 


9.1 


3.7 


16.0 


9.6 


4.2 


South Dakota 


9.1 


4.2 


0.0 


10.0 


5.3 


1.6 


9.4 


5.0 


1.5 


Tennessee 


14.9 


8.5 


2.8 


14.5 


8.5 


3.0 


14.9 


8.0 


3.3 


Texas 


16.5 


7.9 


2.0 


16.2 


8.1 


2.3 


16.0 


7.7 


2.4 


Utah 


10.1 


5.0 


0.0 


11.0 


5.7 


1.3 


12.7 


6.9 


1.6 


Vermont 


11.1 


4.8 


1.3 


11.8 


7.1 


1.3 


11.5 


6.8 


2.9 


Virginia 


15.6 


8.9 


2.3 


15.9 


9.3 


3.3 


17.2 


10.2 


3.8 


W ashington 


13.1 


7.6 


3.0 


14.6 


8.3 


3.8 


13.3 


8.6 


3.2 


W est Virginia 


15.2 


9.5 


2.7 


16.5 


8.7 


3.3 


15.8 


9.4 


4.3 


W isconsin 


10.8 


5.9 


1.8 


10.8 


5.7 


2.0 


11.1 


5.7 


1.9 


W yoming 


10.5 


4.2 


0.0 


12.9 


5.6 


2.0 


12.0 


6.5 


0.0 



Source: MDS 



121 



Prevalence of Pressure Ulcers in Nursing 
Home Residents by Percentile 



Table 19. Incidence of Pressure Ulcers in Nursing Home Residents at the 90th, Median and 
10th Percentile: United States, Quarterly 1999-2001 



1999 










Percent of Residents 














Quarter 1 




Quarter 2 




Quarter 3 




Quarter 4 




Percentile 


90th Median 


10th 


90th 


Median 


10th 


90th Median 


10th 


90th 


Median 


10th 


Nation 


5.6 


2.0 


0.0 


5.5 


2.0 


0.0 


5.4 


1.9 


0.0 


5.4 


2.0 


0.0 


Ownership 


























For-Profit (Proprietary) 


5.8 


2.2 


0.0 


5.7 


2.2 


0.0 


5.6 


2.1 


0.0 


5.6 


2.2 


0.0 


Voluntary Non-Profit 


5.3 


1.7 


0.0 


5.2 


1.7 


0.0 


4.9 


1.7 


0.0 


5.1 


1.7 


0.0 


Government 


5.1 


1.7 


0.0 


5.3 


1.7 


0.0 


4.8 


1.6 


0.0 


5.0 


1.7 


0.0 


Certification 


























Medicare and Medicaid 


5.7 


2.2 


0.0 


5.7 


2.2 


0.0 


5.5 


2.1 


0.0 


5.6 


2.2 


0.0 


Medicare only 


2.8 


0.0 


0.0 


3.0 


0.0 


0.0 


3.4 


0.0 


0.0 


3.2 


0.0 


0.0 


Medicaid only 


5.4 


1.7 


0.0 


5.4 


1.6 


0.0 


5.2 


1.4 


0.0 


5.6 


1.5 


0.0 


Bed Size 
























\ 


Less than 50 


4.8 


0.0 


0.0 


4.8 


0.0 


0.0 


4.8 


0.0 


0.0 


4.9 


0.0 


0.0 


50-99 


6.0 


1.9 


0.0 


5.8 


1.9 


0.0 


5.8 


1.8 


0.0 


5.7 


1.9 


0.0 « 


100 - 199 


5.6 


2.4 


0.0 


5.5 


2.4 


0.0 


5.3 


2.3 


0.0 


5.4 


2.3 


0.0 


200 or more 


5.1 


2.6 


0.5 


5.1 


2.6 


0.8 


4.8 


2.4 


0.6 


4.8 


2.5 


0.7 \ 




2000 










Percent of Residents 














Quarter 1 




Quarter 2 




Quarter 3 




Quarter 4 




Percentile 


90th Median 


10th 


90th 


Median 


10th 


90th Median 


10th 


90th 


Median 


10th ) 


Nation 


5.6 


2.1 


0.0 


5.3 


2.0 


0.0 


5.7 


2.1 


0.0 


5.7 


2.2 


0.0 


Ownership 


























For-Profit (Proprietary) 


5.9 


2.4 


0.0 


5.6 


2.2 


0.0 


5.9 


2.3 


0.0 


5.9 


2.3 


0.0 


Voluntary Non-Profit 


5.2 


1.9 


0.0 


5.0 


1.8 


0.0 


5.3 


1.9 


0.0 


5.5 


2.0 


0.0 


Government 


5.5 


1.8 


0.0 


4.9 


1.7 


0.0 


5.2 


1.9 


0.0 


5.4 


2.0 


0.0 


Certification 


























Medicare and Medicaid 


5.7 


2.4 


0.0 


5.5 


2.2 


0.0 


5.8 


2.3 


0.0 


5.9 


2.4 


0.0 


Medicare only 


3.6 


0.7 


0.0 


3.4 


0.7 


0.0 


3.8 


0.8 


0.0 


3.8 


0.8 


0.0 


Medicaid only 


5.6 


1.6 


0.0 


5.5 


1.4 


0.0 


5.5 


1.6 


0.0 


5.6 


1.7 


0.0 


Bed Size 


























Less than 50 


5.1 


0.0 


0.0 


5.0 


0.0 


0.0 


5.3 


0.0 


0.0 


5.3 


0.0 


0.0 


50-99 


5.8 


2.0 


0.0 


5.7 


1.9 


0.0 


5.9 


2.0 


0.0 


6.0 


2.0 


0.0 


100 - 199 


5.7 


2.5 


0.6 


5.4 


2.2 


0.0 


5.6 


2.4 


0.0 


5.7 


2.5 


0.5 


200 or more 


5.2 


2.7 


0.8 


4.9 


2.5 


0.6 


5.3 


2.6 


0.8 


5.3 


2.7 


0.8 




2001 










Percent of Residents 










- 




Quarter 1 




Quarter 2 




Quarter 3 




Quarter 4 




Percentile 


90th Median 


10th 


90th 


Median 


10th 


90th Median 


10th 


90th 


Median 


10th 


Nation 


5.9 


2.2 


0.0 


5.6 


2.1 


0.0 


5.6 


2.1 


0.0 


5.7 


2.2 


0.0 


Ownership 


























For-Profit (Proprietary) 


6.0 


2.4 


0.0 


5.7 


2.3 


0.0 


5.8 


2.3 


0.0 


5.8 


2.3 


0.0 


Voluntary Non-Profit 


5.6 


1.9 


0.0 


5.2 


1.8 


0.0 


5.2 


1.9 


0.0 


5.5 


1.9 


0.0 


Government 


5.3 


1.9 


0.0 


4.8 


1.7 


0.0 


4.8 


1.7 


0.0 


5.4 


1.9 


0.0 


Certification 


























Medicare and Medicaid 


6.0 


2.4 


0.0 


5.7 


2.3 


0.0 


5.7 


2.3 


0.0 


5.8 


2.4 


0.0 


Medicare only 


3.3 


0.0 


0.0 


3.2 


0.5 


0.0 


3.7 


0.6 


0.0 


3.8 


0.7 


0.0 


Medicaid only 


5.6 


1.7 


0.0 


5.4 


1.5 


0.0 


5.5 


1.5 


0.0 


5.5 


1.5 


0.0 


BedSize 


























Less than 50 


5.1 


0.0 


0.0 


5.0 


0.0 


0.0 


5.0 


0.0 


0.0 


5.6 


0.0 


0.0 


50-99 


6.1 


2.1 


0.0 


5.7 


2.0 


0.0 


5.9 


2.0 


0.0 


6.0 


2.0 


0.0 


100 - 199 


5.8 


2.6 


0.7 


5.6 


2.4 


0.5 


5.6 


2.5 


0.5 


5.6 


2.5 


0.4 


200 or more 


5.4 


2.9 


1.0 


5.2 


2.8 


1.0 


5.1 


2.7 


1.0 


5.4 


2.9 


1.0 


Chain Status 


























No 


5.9 


2.2 


0.0 


5.6 


2.1 


0.0 


5.6 


2.1 


0.0 


5.7 


2.1 


0.0 


Yes 


5.6 


2.5 


0.0 


5.5 


2.3 


0.0 


5.6 


2.3 


0.0 


5.6 


2.4 


0.0 



Source: MDS 8 OSCAR 



122 



Incidence of Pressure Ulcers by 
Type of Nursing Home 



Table 20. Incidence of Pressure Ulcers in Residents at the 90th, 50th, and 10th 
Percentile: United States, 3rd Quarter 1999-2001 



Percent of Residents 




1999 G 


uarter3 




2000 Quarter 3 




2001 Q 


uarter3 




Percentile 


90th 


50th 


10th 


90th 


50th 


10th 


90th 


50th 


10th 


Nation 


5.4 


1.9 


0.0 


5.7 


2.1 


0.0 


5.5 


2.1 


0.0 


Alabama 


4.8 


2.1 


0.0 


5.3 


2.3 


0.0 


4.9 


2.1 


0.0 


Alaska 


5.7 


0.0 


0.0 


4.7 


2.2 


0.0 


4.6 


0.0 


0.0 


Arizona 


4.0 


1.3 


0.0 


3.9 


1.5 


0.0 


4.7 


2.0 


0.0 


Arkansas 


6.1 


2.1 


0.0 


6.4 


2.3 


0.0 


6.3 


2.4 


0.0 


California 


5.4 


1.9 


0.0 


5.7 


2.0 


0.0 


5.6 


2.0 


0.0 


Colorado 


4.0 


1.2 


0.0 


4.8 


1.4 


0.0 


4.8 


1.9 


0.0 


Connecticut 


4.2 


1.6 


0.0 


4.2 


1.8 


0.0 


4.5 


1.9 


0.0 


Delaware 


4.7 


2.3 


0.0 


6.0 


2.4 


0.0 


5.1 


2.1 


0.0 


District of Columbia 


5.4 


2.3 


0.0 


6.3 


3.2 


0.0 


5.9 


2.9 


0.0 


Florida 


4.7 


2.0 


0.0 


5.1 


2.2 


0.0 


4.6 


2.0 


0.0 


G eorgia 


5.9 


2.4 


0.0 


6.5 


2.7 


0.0 


6.3 


2.7 


0.0 


Hawaii 


5.9 


1.3 


0.0 


5.0 


1.4 


0.0 


5.3 


1.1 


0.0 


Idaho 


3.8 


1.1 


0.0 


5.4 


1.1 


0.0 


4.2 


1.5 


0.0 


Illinois 


5.5 


2.0 


0.0 


5.8 


2.1 


0.0 


5.3 


2.0 


0.0 


In d ia n a 


6.0 


2.4 


0.0 


6.6 


2.4 


0.0 


6.4 


2.7 


0.0 


Iowa 


4.5 


1.0 


0.0 


4.5 


1.3 


0.0 


4.3 


1.3 


0.0 


Kansas 


4.4 


1.7 


0.0 


5.9 


1.8 


0.0 


5.5 


1.8 


0.0 


Kentucky 


6.1 


2.2 


0.0 


5.6 


2.5 


0.0 


6.3 


2.9 


0.0 


Louisiana 


5.6 


2.3 


0.0 


6.3 


2.3 


0.0 


6.3 


2.6 


0.0 


Maine 


5.5 


2.2 


0.0 


6.7 


1.9 


0.0 


6.3 


2.1 


0.0 


M a ry la n d 


5.3 


2.1 


0.0 


5.9 


2.5 


0.0 


5.1 


2.3 


0.0 


Massachusetts 


5.0 


2.0 


0.0 


5.3 


2.3 


0.0 


5.5 


2.3 


0.0 


Michigan 


4.8 


2.0 


0.0 


5.5 


2.2 


0.0 


5.3 


2.2 


0.0 


Minnesota 


3.6 


1.4 


0.0 


4.0 


1.4 


0.0 


4.2 


1.4 


0.0 


Mississippi 


6.0 


2.3 


0.0 


6.4 


2.5 


0.0 


5.4 


1.8 


0.0 


Missouri 


5.1 


1.6 


0.0 


5.3 


2.0 


0.0 


5.3 


1.9 


0.0 


M o n ta n a 


3.8 


0.6 


0.0 


4.1 


0.0 


0.0 


4.2 


1.1 


0.0 


Nebraska 


4.7 


1.4 


0.0 


5.4 


1.7 


0.0 


4.5 


1.3 


0.0 


Nevada 


4.3 


1.1 


0.0 


4.7 


2.2 


0.0 


6.2 


1.9 


0.0 


New Hampshire 


4.3 


1.8 


0.0 


4.2 


1.2 


0.0 


4.8 


1.4 


0.0 


New Jersey 


5.1 


2.4 


0.0 


6.3 


2.9 


0.0 


5.6 


2.6 


0.0 


New Mexico 


4.8 


1.8 


0.0 


4.7 


2.1 


0.0 


5.0 


1.7 


0.0 


New York 


5.2 


2.4 


0.0 


5.6 


2.6 


0.0 


5.7 


2.7 


0.6 


North C arolina 


5.7 


1.9 


0.0 


5.9 


2.5 


0.0 


5.9 


2.3 


0.0 


North Dakota 


3.3 


1.1 


0.0 


4.8 


0.9 


0.0 


4.7 


1.3 


0.0 


Ohio 


5.3 


2.0 


0.0 


5.3 


2.0 


0.0 


5.5 


2.1 


0.0 


klahoma 


6.2 


1.9 


0.0 


6.1 


2.4 


0.0 


6.9 


2.3 


0.0 


regon 


4.6 


1.5 


0.0 


5.0 


2.1 


0.0 


5.3 


1.6 


0.0 


Pennsylvania 


6.1 


2.6 


0.0 


6.3 


2.6 


0.0 


6.1 


3.0 


0.0 


R hode Island 


5.5 


1.9 


0.0 


5.6 


2.4 


0.0 


4.9 


2.2 


0.0 


South Carolina 


5.5 


1.8 


0.0 


5.3 


2.3 


0.0 


5.1 


2.2 


0.0 


South Dakota 


5.1 


1.5 


0.0 


5.1 


1.7 


0.0 


5.4 


1.9 


0.0 


Tennessee 


5.1 


2.0 


0.0 


5.3 


2.4 


0.0 


4.9 


2.1 


0.0 


Texas 


6.2 


2.1 


0.0 


6.3 


2.3 


0.0 


6.1 


2.4 


0.0 


Utah 


3.6 


1.0 


0.0 


4.2 


1.4 


0.0 


3.8 


1.4 


0.0 


Vermont 


5.2 


2.0 


0.0 


5.8 


3.3 


0.0 


5.2 


2.2 


0.0 


Virginia 


5.7 


2.3 


0.0 


5.6 


2.5 


0.0 


6.7 


2.4 


0.0 


W ashing ton 


4.8 


1.9 


0.0 


5.6 


2.0 


0.0 


5.1 


1.9 


0.0 


West Virginia 


6.4 


2.6 


0.0 


6.3 


2.0 


0.0 


6.9 


2.9 


0.0 


W isconsin 


4.7 


1.8 


0.0 


4.6 


1.9 


0.0 


4.3 


1.8 


0.0 


W yoming 


4.8 


0.4 


0.0 


5.9 


2.2 


0.0 


5.9 


1.8 


0.0 



Source: MDS 



123 



Incidence of Pressure Ulcers 
by State 



Table 21. Prevalence of Physical Restraint Use in Nursing Homes at the 90th, Median and 
10th Percentile: United States, Quarterly 1999-2001 



1999 










Pe 


rcent of R 


esidents 














1 


Kuarter 1 




Quarter 2 




Quarter 3 




Quarter 4 




Percentile 


90th 


Median 


10th 


90th 


Median 


10th 


90th M 


edian 


10th 


90th 


Median 


10th 


Nation 


24.2 


6.9 


0.0 


24.4 


6.8 


0.0 


24.1 


6.7 


0.0 


23.5 


6.5 


0.0 


Ownership 


























For-Profit (Proprietary) 


25.5 


8.0 


0.0 


25.5 


8.0 


0.0 


25.3 


7.8 


0.0 


24.7 


7.8 


0.0 


Voluntary Non-Profit 


20.9 


5.1 


0.0 


21.0 


4.8 


0.0 


20.4 


4.7 


0.0 


19.8 


4.5 


0.0 


Government 


24.6 


7.6 


0.0 


25.4 


7.2 


0.0 


25.0 


6.7 


0.0 


25.0 


6.5 


0.0 


Certification 


























Medicare and Medicaid 


24.1 


7.5 


0.0 


24.3 


7.3 


0.0 


23.9 


7.2 


0.0 


23.4 


7.0 


0.0 


Medicare only 


12.5 


2.3 


0.0 


13.0 


2.3 


0.0 


11.9 


2.2 


0.0 


12.7 


1.9 


0.0 


Medicaid only 


29.8 


8.6 


0.0 


29.5 


8.2 


0.0 


29.0 


8.0 


0.0 


28.8 


8.0 


0.0 


Bed Size 


























Less than 50 


18.2 


3.2 


0.0 


17.9 


3.2 


0.0 


17.6 


3.1 


0.0 


17.1 


2.6 


0.0 


50-99 


25.8 


7.8 


0.0 


25.8 


7.5 


0.0 


25.4 


7.4 


0.0 


24.6 


7.0 


0.0 


100 - 199 


25.2 


8.1 


0.8 


25.2 


8.1 


0.7 


25.0 


7.9 


0.7 


24.5 


7.9 


0.7 


200 or more 


21.7 


6.7 


0.7 


21.8 


6.5 


0.6 


22.1 


6.3 


0.5 


21.7 


6.2 


0.5 




2000 










Pe 


rcent of R 


esidents 














Quarter 1 




Quarter 2 




Quarter 3 




Quarter 4 




Percentile 


90th 


Median 


10th 


90th 


Median 


10th 


90th M 


edian 


10th 


90th 


Median 


10th 


Nation 


23.2 


6.3 


0.0 


23.2 


6.3 


0.0 


23.4 


6.4 


0.0 


23.3 


6.3 


0.0 


Ownership 


























For-Profit (Proprietary) 


24.3 


7.5 


0.0 


24.5 


7.5 


0.0 


24.6 


7.7 


0.0 


24.5 


7.6 


0.0 


Voluntary Non-Profit 


19.1 


4.3 


0.0 


18.8 


4.3 


0.0 


19.2 


4.3 


0.0 


19.1 


4.1 


0.0 


Government 


23.8 


6.1 


0.0 


23.6 


6.2 


0.0 


24.8 


5.9 


0.0 


24.1 


5.8 


0.0 


Certification 


























Medicare and Medicaid 


22.9 


6.8 


0.0 


23.0 


6.8 


0.0 


23.2 


6.9 


0.0 


23.1 


6.8 


0.0 


Medicare only 


11.9 


1.8 


0.0 


11.1 


1.6 


0.0 


11.3 


1.5 


0.0 


11.2 


1.5 


0.0 


Medicaid only 


28.1 


7.4 


0.0 


27.8 


7.4 


0.0 


28.1 


7.4 


0.0 


27.8 


7.2 


0.0 


Bed Size 


























Less than 50 


16.5 


2.4 


0.0 


16.7 


2.4 


0.0 


17.1 


2.4 


0.0 


17.1 


2.3 


0.0 


50-99 


24.1 


6.9 


0.0 


24.4 


6.9 


0.0 


24.5 


7.0 


0.0 


24.4 


7.0 


0.0 


100 - 199 


23.9 


7.6 


0.6 


24.0 


7.6 


0.7 


24.2 


7.7 


0.7 


24.0 


7.5 


0.7 


200 or more 


20.9 


6.2 


0.5 


20.9 


5.9 


0.5 


20.6 


5.9 


0.4 


21.4 


5.9 


0A 




2001 










Percent of R 


esidents 














Quarter 1 




Quarter 2 




Quarter 3 




Quarter 4 




Percentile 


90th 


Median 


10th 


90th 


Median 


10th 


90th M 


edian 


10th 


90th 


Median 


10th 


Nation 


22.9 


6.3 


0.0 


22.9 


6.3 


0.0 


22.8 


6.4 


0.0 


22.2 


6.2 


0.0 


Ownership 


























For-Profit (Proprietary) 


24.1 


7.5 


0.0 


24.1 


7.5 


0.0 


24.0 


7.6 


0.0 


23.6 


7.3 


0.0 


Voluntary Non-Profit 


18.9 


4.2 


0.0 


18.8 


4.0 


0.0 


19.2 


4.1 


0.0 


18.3 


4.0 


0.0 


Government 


23.5 


5.7 


0.0 


23.3 


5.7 


0.0 


23.3 


5.8 


0.0 


21.8 


5.4 


0.0 


Certification 


























Medicare and Medicaid 


22.7 


6.8 


0.0 


22.7 


6.8 


0.0 


22.6 


6.9 


0.0 


22.0 


6.6 


0.0 


Medicare only 


10.7 


1.4 


0.0 


11.0 


1.1 


0.0 


10.6 


0.9 


0.0 


10.6 


1.0 


0.0 


Medicaid only 


27.7 


6.8 


0.0 


28.3 


6.8 


0.0 


28.6 


6.9 


0.0 


27.5 


6.7 


0.0 


Bed Size 


























Less than 50 


17.4 


2.3 


0.0 


17.4 


2.1 


0.0 


17.6 


2.0 


0.0 


17.1 


1.9 


0.0 


50-99 


24.0 


6.9 


0.0 


24.1 


6.9 


0.0 


24.0 


7.0 


0.0 


23.6 


6.7 


0.0 


100 - 199 


23.4 


7.5 


0.6 


23.5 


7.5 


0.7 


23.4 


7.7 


0.7 


22.7 


7.3 


0.7 


200 or more 


20.8 


5.8 


0.5 


20.7 


5.9 


0.5 


20.5 


5.8 


0.4 


19.1 


5.5 


0.5 


Chain 


























No 


23.6 


6.5 


0.0 


23.6 


6.5 


0.0 


23.4 


6.5 


0.0 


23.0 


6.3 


0.0 


Yes 


18.9 


6.0 


0.0 


19.6 


6.2 


0.0 


19.4 


6.2 


0.0 


18.3 


5.9 


0.0 



Source: MDS & OSCAR 



124 



Prevalence of Physical Restraints 
in Nursing Homes 



Table 22. Prevalence of Physical Restraint Use in Nursing Homes at the 90th, 50th 
and 10th Percentile: United States, Third Quarter 1999-2001 









Percent of Residents with Phy 


sical Restrainl 


: 










1999 






2000 






2001 




Percentile 


90th 


50th 


10th 


90th 


50th 


10th 


90th 


50 th 


10th 


Nation 


24.1 


6.7 


0.0 


23.4 


6.4 


0.0 


22.8 


6.4 


0.0 


Alabama 


17.6 


3.0 


0.0 


16.8 


3.4 


0.0 


20.0 


3.7 


0.0 


Alaska 


19.0 


6.8 


0.0 


24.5 


5.3 


0.0 


14.9 


5.0 


0.0 


Arizona 


20.3 


9.2 


0.0 


19.5 


7.6 


0.0 


16.8 


7.7 


0.0 


Arkansas 


37.3 


22.1 


5.8 


35.8 


21.3 


5.8 


36.4 


22.0 


6.5 


C alifornia 


33.8 


16.3 


2.3 


32.9 


15.7 


2.0 


32.1 


15.2 


1.7 


Colorado 


18.9 


7.7 


0.8 


18.4 


6.3 


0.0 


16.3 


6.9 


0.0 


Connecticut 


24.5 


9.7 


0.8 


23.8 


9.1 


0.9 


25.8 


8.9 


0.0 


Delaware 


11.2 


1.7 


0.0 


9.7 


1.2 


0.0 


7.7 


0.6 


0.0 


District of Columbia 


13.8 


3.5 


0.0 


15.4 


3.4 


0.0 


12.8 


3.1 


0.0 


Florida 


16.1 


4.9 


0.0 


14.7 


4.9 


0.0 


14.5 


5.6 


0.0 


G eorgia 


23.5 


10.2 


2.1 


25.0 


10.8 


1.9 


26.8 


12.4 


1.8 


Hawaii 


26.6 


7.0 


0.0 


28.6 


4.8 


0.0 


25.1 


5.8 


0.0 


Idaho 


13.7 


5.2 


0.0 


13.7 


5.5 


0.0 


15.1 


5.7 


0.0 


Illinois 


15.1 


4.0 


0.0 


13.3 


3.3 


0.0 


13.3 


2.9 


0.0 


In d ia n a 


17.8 


5.9 


0.0 


16.1 


5.4 


0.0 


15.5 


5.6 


0.0 


Iowa 


7.8 


0.9 


0.0 


7.4 


1.0 


0.0 


9.2 


1.3 


0.0 


Kansas 


12.5 


3.6 


0.0 


14.1 


3.6 


0.0 


15.6 


3.6 


0.0 


Kentucky 


22.3 


6.8 


0.0 


18.8 


7.1 


0.0 


21.6 


8.2 


0.0 


Louisiana 


35.5 


20.3 


4.7 


35.6 


20.4 


4.7 


31.8 


18.2 


3.4 


Maine 


16.7 


4.1 


0.0 


15.3 


3.7 


0.0 


15.8 


3.3 


0.0 


M a ry la n d 


21.3 


7.5 


0.0 


19.8 


5.6 


0.0 


16.0 


5.2 


0.0 


Massachusetts 


14.9 


4.4 


0.0 


14.2 


4.1 


0.0 


13.9 


4.6 


0.0 


Michigan 


17.8 


6.2 


0.0 


16.1 


5.0 


0.0 


16.9 


4.5 


0.0 


Minnesota 


11.5 


3.2 


0.0 


11.1 


3.2 


0.0 


11.4 


3.1 


0.0 


Mississippi 


27.5 


13.1 


1.4 


26.7 


15.0 


1.5 


28.4 


15.0 


0.0 


Missouri 


19.0 


5.6 


0.0 


18.3 


5.9 


0.0 


18.5 


6.1 


0.0 


M o n ta n a 


13.6 


3.8 


0.0 


11.0 


2.6 


0.0 


12.0 


1.9 


0.0 


Nebraska 


6.0 


0.0 


0.0 


5.0 


0.0 


0.0 


8.0 


0.6 


0.0 


Nevada 


21.2 


7.4 


0.0 


20.0 


7.9 


0.0 


28.0 


8.9 


0.0 


New Hampshire 


9.6 


2.2 


0.0 


7.8 


2.3 


0.0 


8.8 


2.8 


0.0 


New Jersey 


10.2 


2.4 


0.0 


9.8 


2.8 


0.0 


10.7 


2.9 


0.0 


New Mexico 


15.3 


7.8 


0.0 


19.5 


6.8 


0.0 


16.4 


6.7 


0.0 


New York 


22.6 


5.9 


0.2 


21.3 


5.9 


0.0 


19.2 


5.4 


0.0 


North Carolina 


27.0 


6.5 


0.0 


23.0 


6.7 


0.0 


23.1 


6.6 


0.0 


North Dakota 


15.1 


4.5 


0.0 


16.1 


4.4 


0.0 


15.3 


5.2 


0.0 


Ohio 


20.2 


6.8 


0.0 


20.0 


7.2 


0.0 


20.7 


7.4 


0.0 


klahoma 


22.2 


8.7 


1.2 


20.0 


9.5 


1.0 


20.6 


8.3 


0.0 


Oregon 


23.6 


10.3 


0.8 


24.4 


9.2 


1.1 


23.4 


10.4 


0.0 


Pennsylvania 


22.0 


5.1 


0.0 


17.2 


4.2 


0.0 


15.3 


4.0 


0.0 


R hode Island 


15.4 


4.9 


0.0 


13.1 


4.2 


0.0 


20.0 


3.6 


0.0 


South Carolina 


25.0 


6.9 


0.0 


28.2 


6.4 


0.0 


26.6 


8.9 


0.0 


South Dakota 


21.4 


8.3 


1.5 


18.8 


7.4 


0.0 


18.8 


7.2 


0.0 


Tennessee 


29.8 


12.1 


0.7 


29.3 


12.0 


0.0 


27.5 


11.9 


0.6 


Texas 


32.3 


16.3 


1.9 


32.3 


16.7 


1.4 


32.4 


16.6 


1.5 


Utah 


18.4 


5.7 


0.0 


15.2 


5.8 


0.0 


19.9 


5.3 


0.0 


Vermont 


14.0 


3.9 


0.0 


10.6 


3.5 


0.0 


14.7 


3.6 


0.0 


Virginia 


17.9 


5.2 


0.0 


19.4 


4.9 


0.0 


21.9 


5.8 


0.0 


Washington 


17.9 


5.9 


0.0 


20.6 


6.4 


0.0 


21.7 


6.3 


0.0 


West Virginia 


18.1 


5.1 


0.0 


17.4 


4.9 


0.0 


17.7 


5.7 


0.0 


W isconsin 


16.7 


4.8 


0.0 


12.1 


3.9 


0.0 


12.0 


2.9 


0.0 


W yom ing 


14.3 


5.8 


0.0 


15.9 


6.3 


0.0 


18.6 


7.0 


0.0 



Source: MDS 



125 



Prevalence of Physical 
Restraints by State 



Table 23. Incidence of Physical Restraint Use in Nursing Homes at the 90th, Median, and 
10th Percentile: United States, Quarterly 1999-2001 



1999 










Percent of Residents 














Quarter 1 




Quarter 2 




Quarter 3 




Quarter 4 




Percentile 


90th 


Median 


10th 


90th 


Median 


10th 


90th Median 


10th 


90th 


Median 


10th 


Nation 


6.0 


1.0 


0.0 


6.1 


1.1 


0.0 


6.1 


1.2 


0.0 


5.9 


1.1 


0.0 


Ownership 


























For-Profit (Proprietary) 


6.5 


1.5 


0.0 


6.4 


1.5 


0.0 


6.5 


1.5 


0.0 


6.3 


1.4 


0.0 


Voluntary Non-Profit 


5.1 


0.6 


0.0 


5.2 


0.6 


0.0 


5.2 


0.6 


0.0 


5.0 


0.5 


0.0 


Government 


6.0 


1.0 


0.0 


6.3 


1.1 


0.0 


6.3 


1.0 


0.0 


5.6 


0.9 


0.0 


Certification 


























Medicare and Medicaid 


6.2 


1.4 


0.0 


6.3 


1.4 


0.0 


6.2 


1.4 


0.0 


6.1 


1.3 


0.0 


Medicare only 


1.8 


0.0 


0.0 


2.0 


0.0 


0.0 


2.1 


0.0 


0.0 


2.0 


0.0 


0.0 


Medicaid only 


7.1 


1.2 


0.0 


6.8 


1.0 


0.0 


7.1 


1.1 


0.0 


6.7 


0.0 


0.0 


Bed Size 


























Less than 50 


4.3 


0.0 


0.0 


4.5 


0.0 


0.0 


4.3 


0.0 


0.0 


4.2 


0.0 


0.0 


50-99 


6.5 


1.4 


0.0 


6.5 


1.3 


0.0 


6.5 


1.4 


0.0 


6.3 


1.2 


0.0 


100 - 199 


6.3 


1.6 


0.0 


6.3 


1.6 


0.0 


6.3 


1.6 


0.0 


6.3 


1.6 


0.0 


200 or more 


5.5 


1.4 


0.0 


5.9 


1.5 


0.0 


5.6 


1.4 


0.0 


5.5 


1.3 


0.0 


2000 










Percent of Residents 














Quarter 1 




Quarter 2 




Quarter 3 




Quarter 4 




Percentile 


90th 


Median 


10th 


90th 


Median 


10th 


90th Median 


10th 


90th 


Median 


10th 


Nation 


5.9 


1.1 


0.0 


5.9 


1.1 


0.0 


5.9 


1.1 


0.0 


5.9 


1.1 


0.0 


Ownership 


























For-Profit (Proprietary) 


6.2 


1.4 


0.0 


6.5 


1.5 


0.0 


6.7 


1.5 


0.0 


6.4 


1.5 


0.0 


Voluntary Non-Profit 


4.8 


0.5 


0.0 


5.0 


0.5 


0.0 


4.8 


0.5 


0.0 


5.1 


0.4 


0.0 


Government 


6.3 


1.0 


0.0 


5.9 


1.0 


0.0 


5.9 


0.9 


0.0 


5.9 


0.8 


0.0 


Certification 


























Medicare and Medicaid 


5.9 


1.4 


0.0 


6.1 


1.4 


0.0 


6.3 


1.4 


0.0 


6.1 


1.4 


0.0 


Medicare only 


1.8 


0.0 


0.0 


2.3 


0.0 


0.0 


2.1 


0.0 


0.0 


2.3 


0.0 


0.0 


Medicaid only 


7.1 


0.1 


0.0 


7.1 


1.0 


0.0 


7.1 


0.8 


0.0 


7.3 


0.8 


0.0 


Bed Size 


























Less than 50 


4.3 


0.0 


0.0 


4.4 


0.0 


0.0 


4.5 


0.0 


0.0 


4.3 


0.0 


0.0 


50-99 


6.3 


1.3 


0.0 


6.5 


1.3 


0.0 


6.5 


1.3 


0.0 


6.4 


1.3 


0.0 


100 - 199 


6.0 


1.6 


0.0 


6.3 


1.6 


0.0 


6.3 


1.6 


0.0 


6.3 


1.6 


0.0 


200 or more 


5.1 


1.5 


0.0 


5.3 


1.4 


0.0 


5.3 


1.5 


0.0 


5.5 


1.4 


0.0 


2001 










Percent of Residents 










! 




Quarter 1 




Quarter 2 




Quarter 3 




Quarter 4 




Percentile 


90th 


Median 


10th 


90th 


Median 


10th 


90th Median 


10th 


90th 


Median 


10th 


Nation 


5.9 


1.1 


0.0 


5.9 


1.1 


0.0 


5.9 


1.2 


0.0 


5.6 


1.1 


0.0 


Ownership 


























For-Profit (Proprietary) 


6.3 


1.4 


0.0 


6.3 


1.4 


0.0 


6.2 


1.5 


0.0 


6.0 


1.4 


0.0 


Voluntary Non-Profit 


4.9 


0.4 


0.0 


4.9 


0.0 


0.0 


4.9 


0.4 


0.0 


4.4 


0.0 


0.0 


Government 


6.4 


0.9 


0.0 


6.1 


0.7 


0.0 


6.0 


0.7 


0.0 


5.3 


0.5 


0.0 


Certification 


























Medicare and Medicaid 


6.0 


1.3 


0.0 


6.0 


1.3 


0.0 


6.0 


1.4 


0.0 


5.7 


1.3 


0.0 


Medicare only 


2.0 


0.0 


0.0 


1.8 


0.0 


0.0 


2.0 


0.0 


0.0 


2.0 


0.0 


0.0 


Medicaid only 


6.9 


0.0 


0.0 


6.6 


0.0 


0.0 


6.8 


0.0 


0.0 


6.7 


0.0 


0.0 


Bed Size 


























Less than 50 


4.3 


0.0 


0.0 


4.4 


0.0 


0.0 


4.2 


0.0 


0.0 


3.8 


0.0 


0.0 


50-99 


6.3 


1.3 


0.0 


6.4 


1.3 


0.0 


6.5 


1.3 


0.0 


5.9 


1.2 


0.0 


100 - 199 


6.1 


1.5 


0.0 


6.0 


1.5 


0.0 


5.9 


1.6 


0.0 


5.9 


1.5 


0.0 


200 or more 


5.1 


1.4 


0.0 


5.2 


1.5 


0.0 


5.3 


1.4 


0.0 


4.8 


1.3 


0.0 


Chain 


























No 


5.8 


1.0 


0.0 


6.0 


1.1 


0.0 


6.0 


1.1 


0.0 


5.7 


1.0 


0.0 


Yes 


5.7 


1.5 


0.0 


5.5 


1.4 


0.0 


5.7 


1.4 


0.0 


5.6 


1.4 


0.0 



Source: MDS and OSCAR 



126 



Incidence of Physical Restraints 
in Nursing Homes 



Table 24. Incidence of Physical Restraint Use in Nursing Homes at the 90th, 50th, 
and 10th Percentile: United States, Third Quarter 1999-2001 











Percent of Res 


i dents 










1999 Quarter 3 


2000 Quarter 3 


2001 Quarter 


3 


Percentile 


90th 


50th 


10th 


90th 


50th 


10th 


90th 


50th 


10th 


Nation 


6.1 


1.2 


0.0 


6.1 


1.1 


0.0 


5.5 


2.1 


0.0 


Alabama 


5.0 


0.6 


0.0 


5.3 


0.7 


0.0 


4.9 


2.1 


0.0 


Alaska 


7.7 


0.0 


0.0 


9.5 


0.0 


0.0 


4.6 


0.0 


0.0 


Arizona 


6.0 


1.3 


0.0 


5.0 


1.4 


0.0 


4.7 


2.0 


0.0 


Arkansas 


10.1 


4.0 


0.0 


8.1 


3.5 


0.0 


6.3 


2.4 


0.0 


C alifornia 


8.2 


2.6 


0.0 


8.4 


2.4 


0.0 


5.6 


2.0 


0.0 


Colorado 


6.3 


1.5 


0.0 


4.8 


1.1 


0.0 


4.8 


1.9 


0.0 


Connecticut 


6.5 


2.1 


0.0 


6.5 


1.7 


0.0 


4.5 


1.9 


0.0 


Delaware 


2.8 


0.0 


0.0 


2.2 


0.0 


0.0 


5.1 


2.1 


0.0 


District of Columbia 


2.5 


0.8 


0.0 


1.9 


0.4 


0.0 


5.9 


2.9 


0.0 


Florida 


4.8 


1.0 


0.0 


4.9 


1.1 


0.0 


4.6 


2.0 


0.0 


G eorgia 


6.9 


1.9 


0.0 


7.8 


2.1 


0.0 


6.3 


2.7 


0.0 


Hawaii 


7.6 


1.0 


0.0 


7.5 


0.9 


0.0 


5.3 


1.1 


0.0 


Idaho 


4.0 


0.0 


0.0 


4.7 


0.0 


0.0 


4.2 


1.5 


0.0 


Illinois 


3.8 


0.5 


0.0 


3.4 


0.0 


0.0 


5.3 


2.0 


0.0 


Indiana 


5.1 


1.2 


0.0 


5.6 


1.0 


0.0 


6.4 


2.7 


0.0 


Iowa 


2.5 


0.0 


0.0 


2.4 


0.0 


0.0 


4.3 


1.3 


0.0 


Kansas 


3.6 


0.0 


0.0 


4.7 


0.0 


0.0 


5.5 


1.8 


0.0 


Kentucky 


6.0 


1.1 


0.0 


6.3 


1.2 


0.0 


6.3 


2.9 


0.0 


Louisiana 


7.9 


2.5 


0.0 


8.3 


2.6 


0.0 


6.3 


2.6 


0.0 


Maine 


3.7 


0.0 


0.0 


3.7 


0.0 


0.0 


6.3 


2.1 


0.0 


M a ry la n d 


6.9 


1.9 


0.0 


5.5 


1.4 


0.0 


5.1 


2.3 


0.0 


Massachusetts 


4.2 


0.8 


0.0 


4.1 


0.9 


0.0 


5.5 


2.3 


0.0 


Michigan 


4.9 


1.2 


0.0 


4.8 


1.0 


0.0 


5.3 


2.2 


0.0 


Minnesota 


3.5 


0.6 


0.0 


3.5 


0.5 


0.0 


4.2 


1.4 


0.0 


Mississippi 


6.7 


2.0 


0.0 


8.9 


2.2 


0.0 


5.4 


1.8 


0.0 


Missouri 


5.4 


0.8 


0.0 


5.1 


0.7 


0.0 


5.3 


1.9 


0.0 


Montana 


3.8 


0.0 


0.0 


3.8 


0.0 


0.0 


4.2 


1.1 


0.0 


Nebraska 


2.2 


0.0 


0.0 


2.3 


0.0 


0.0 


4.5 


1.3 


0.0 


Nevada 


5.7 


0.8 


0.0 


4.8 


0.8 


0.0 


6.2 


1.9 


0.0 


New Hampshire 


1.9 


0.0 


0.0 


1.9 


0.0 


0.0 


4.8 


1.4 


0.0 


New Jersey 


2.6 


0.3 


0.0 


3.6 


0.4 


0.0 


5.6 


2.6 


0.0 


New Mexico 


7.0 


1.5 


0.0 


5.7 


1.1 


0.0 


5.0 


1.7 


0.0 


New York 


6.0 


1.4 


0.0 


5.3 


1.6 


0.0 


5.7 


2.7 


0.6 


North Carolina 


8.7 


1.5 


0.0 


6.8 


1.3 


0.0 


5.9 


2.3 


0.0 


North Dakota 


4.7 


0.0 


0.0 


2.9 


0.0 


0.0 


4.7 


1.3 


0.0 


Ohio 


5.3 


1.1 


0.0 


5.7 


1.3 


0.0 


5.5 


2.1 


0.0 


klahoma 


6.2 


1.5 


0.0 


6.7 


1.5 


0.0 


6.9 


2.3 


0.0 


Oregon 


6.8 


2.5 


0.0 


6.3 


1.8 


0.0 


5.3 


1.6 


0.0 


Pennsylvania 


6.5 


1.1 


0.0 


5.7 


1.0 


0.0 


6.1 


3.0 


0.0 


R node Island 


4.1 


0.7 


0.0 


3.9 


0.0 


0.0 


4.9 


2.2 


0.0 


South Carolina 


7.6 


1.1 


0.0 


6.8 


1.3 


0.0 


5.1 


2.2 


0.0 


South Dakota 


5.0 


1.2 


0.0 


5.1 


1.5 


0.0 


5.4 


1.9 


0.0 


Tennessee 


7.5 


2.0 


0.0 


9.1 


2.5 


0.0 


4.9 


2.1 


0.0 


Texas 


9.5 


2.6 


0.0 


10.3 


2.8 


0.0 


6.1 


2.4 


0.0 


Utah 


5.4 


0.0 


0.0 


4.2 


1.0 


0.0 


3.8 


1.4 


0.0 


Vermont 


4.5 


0.0 


0.0 


4.5 


0.0 


0.0 


5.2 


2.2 


0.0 


Virginia 


4.9 


1.1 


0.0 


5.3 


0.7 


0.0 


6.7 


2.4 


0.0 


Washington 


4.9 


0.9 


0.0 


6.5 


1.3 


0.0 


5.1 


1.9 


0.0 


W est Virginia 


4.7 


0.6 


0.0 


5.1 


0.8 


0.0 


6.9 


2.9 


0.0 


W isconsin 


3.7 


0.6 


0.0 


3.0 


0.0 


0.0 


4.3 


1.8 


0.0 


Wyom ing 


5.1 


0.4 


0.0 


4.8 


0.0 


0.0 


5.9 


1.8 


0.0 



Source: MDS 

127 



Incidence of Physical 
Restraints by State 



Table 25. Prevalence of Tube Feeding 


in Nu 


rsing Homes 


by Type of Ni 


i rsing 


Home 


at the 




90th, Median, and 10th Percentile: Un 


ited States, Quarterly 1999 


■2001 








1999 










Percent of Residents 














Quarter 1 




Quarter 2 




Qua 


rter 3 




Quarter 4 




Percentile 


90th 


Median 


10th 


90th 


Median 


10th 


90th Median 


10th 


90th 


Median 


10th 


Nation 


13.4 


4.4 


0.0 


13.2 


4.2 


0.0 


12.8 


4.2 


0.0 


13.4 


4.4 


0.0 


Ownership 


























For-Profit (Proprietary) 


13.8 


5.1 


0.0 


14.1 


5.2 


0.0 


14.0 


5.3 


0.0 


14.1 


5.2 


0.0 


Voluntary Non-Profit 


10.9 


3.0 


0.0 


11.1 


3.1 


0.0 


11.2 


3.1 


0.0 


11.3 


3.1 


0.0 


Government 


12.6 


3.0 


0.0 


13.0 


3.3 


0.0 


13.7 


3.4 


0.0 


13.2 


3.3 


0.0 


Certification 


























Medicare and Medicaid 


13.5 


4.8 


0.0 


13.9 


4.9 


0.0 


13.9 


4.9 


0.0 


13.9 


4.9 


0.6 


Medicare only 


8.7 


2.5 


0.0 


9.1 


2.8 


0.0 


9.3 


2.8 


0.0 


9.8 


3.0 


0.0 


Medicaid only 


10.8 


1.8 


0.0 


11.1 


1.8 


0.0 


10.8 


1.9 


0.0 


10.9 


2.0 


0.0 


Bed Size 


























Less than 50 


10.0 


2.1 


0.0 


10.7 


2.2 


0.0 


11.0 


2.3 


0.0 


10.7 


2.4 


0.0 


50-99 


12.8 


3.4 


0.0 


12.9 


3.6 


0.0 


13.0 


3.5 


0.0 


13.0 


3.5 


0.0 


100 - 199 


13.2 


5.3 


1.1 


13.6 


5.4 


1.1 


13.6 


5.4 


1.1 


13.6 


5.4 


1.1 


200 or more 


15.2 


6.7 


1.8 


15.9 


6.9 


1.9 


15.6 


6.9 


1.8 


15.5 


6.9 


1.9 


2000 










Percent of Residents 














Quarter 1 




Quarter 2 




Quarter 3 




Quarter 4 




Percentile 


90th 


Median 


10th 


90th 


Median 


10th 


90th Median 


10th 


90th 


Median 


10th 


Nation 


13.3 


4.4 


0.0 


13.4 


4.3 


0.0 


13.2 


4.3 


0.0 


13.0 


4.3 


0.0 


Ownership 


























For-Profit (Proprietary) 


14.0 


5.2 


0.0 


14.1 


5.2 


0.0 


13.9 


5.1 


0.0 


13.6 


5.1 


0.0 


Voluntary Non-Profit 


11.0 


3.1 


0.0 


11.3 


3.1 


0.0 


11.0 


3.0 


0.0 


10.9 


3.0 


0.0 


Government 


12.9 


3.1 


0.0 


13.1 


3.2 


0.0 


13.0 


3.2 


0.0 


12.5 


3.2 


0.0 


Certification 


























Medicare and Medicaid 


13.8 


4.9 


0.6 


13.9 


4.9 


0.5 


13.7 


4.8 


0.0 


13.4 


4.8 


0.0 


Medicare only 


9.5 


2.9 


0.0 


9.4 


2.9 


0.0 


8.9 


2.9 


0.0 


8.8 


2.8 


0.0 


Medicaid only 


10.9 


1.9 


0.0 


11.1 


2.0 


0.0 


10.8 


2.0 


0.0 


10.6 


2.0 


0.0 


Bed Size 


























Less than 50 


10.9 


2.4 


0.0 


11.4 


2.3 


0.0 


10.8 


2.4 


0.0 


10.7 


2.4 


0.0 


50-99 


12.9 


3.4 


0.0 


12.8 


3.5 


0.0 


12.5 


3.4 


0.0 


12.4 


3.5 


0.0 


100 - 199 


13.6 


5.4 


1.1 


13.6 


5.4 


1.2 


13.5 


5.3 


1.1 


13.3 


5.2 


1.1 


200 or more 


15.6 


6.8 


1.9 


15.8 


6.8 


1.9 


15.6 


6.7 


1.9 


15.3 


6.8 


1.8 


2001 










Percent of Residents 










,. 




G 


uarter 1 




Quarter 2 




Quarter 3 




Quarter 4 




Percentile 


90th 


Median 


10th 


90th 


Median 


10th 


90th Median 


10th 


90th 


Median 


10th 


Nation 


13.0 


4.2 


0.0 


12.9 


4.2 


0.0 


12.8 


4.2 


0.0 


12.8 


4.2 


0.0 


Ownership 


























For-Profit (Proprietary) 


13.7 


5.0 


0.0 


13.5 


5.0 


0.0 


13.5 


5.0 


0.0 


13.5 


4.9 


0.0 


Voluntary Non-Profit 


10.6 


2.9 


0.0 


10.9 


2.9 


0.0 


10.7 


2.9 


0.0 


10.5 


2.9 


0.0 


Government 


13.2 


3.0 


0.0 


12.8 


3.1 


0.0 


13.0 


3.1 


0.0 


13.0 


3.0 


0.0 


Certification 


























Medicare and Medicaid 


13.5 


4.8 


0.0 


13.3 


4.7 


0.0 


13.3 


4.7 


0.0 


13.2 


4.6 


0.0 


Medicare only 


8.0 


2.6 


0.0 


7.9 


2.5 


0.0 


8.3 


2.6 


0.0 


8.1 


2.6 


0.0 


Medicaid only 


10.4 


1.8 


0.0 


11.0 


1.8 


0.0 


10.6 


1.7 


0.0 


10.7 


1.7 


0.0 


Bed Size 


























Less than 50 


10.6 


2.3 


0.0 


10.5 


2.3 


0.0 


10.6 


2.4 


0.0 


10.0 


2.4 


0.0 


50-99 


12.5 


3.4 


0.0 


12.5 


3.4 


0.0 


12.4 


3.4 


0.0 


12.5 


3.3 


0.0 


100 - 199 


13.3 


5.2 


1.1 


13.3 


5.1 


1.1 


13.1 


5.1 


1.1 


13.0 


5.0 


1.0 


200 or more 


15.4 


6.9 


2.0 


15.0 


6.9 


1.9 


14.7 


6.8 


2.0 


14.7 


6.7 


1.8 


Chain 


























No 


13.2 


4.1 


0.0 


13.0 


4.1 


0.0 


13.0 


4.1 


0.0 


12.9 


4.0 


0.0 


Yes 


12.4 


4.9 


0.9 


12.3 


4.8 


0.9 


12.3 


4.8 


0.9 


12.2 


4.8 


0.7 



Source: MDS and OSCAR 



128 



Tube Feeding 



Table 26. Prevalence of Tube Feeding 
10th Percentile: United States, Third Q 



in Nursing Homes at the 90th, 50th, and 
uarter 1999-2001 











Percent of Res 


idents 










1999 Quarter 3 


2000 Quarter 3 


2001 Quarter 3 


Percentile 


90th 


50th 


10th 


90th 


50th 


10th 


90th 


50th 


10th 


Nation 


13.4 


4.4 


0.0 


13.2 


4.2 


0.0 


12.8 


4.2 


0.0 


Alabama 




















Alaska 


16.2 


4.8 


0.0 


20.2 


8.5 


0.0 


24.3 


6.7 


0.0 


Arizona 


8.1 


2.8 


0.0 


7.8 


2.9 


0.0 


7.2 


2.2 


0.0 


Arkansas 


12.2 


5.3 


1.1 


12.3 


5.0 


0.9 


12.2 


5.2 


0.9 


California 


17.6 


6.6 


0.0 


18.1 


6.7 


0.0 


17.9 


6.3 


0.0 


Colorado 


6.1 


2.1 


0.0 


5.1 


1.8 


0.0 


5.9 


1.9 


0.0 


C onnecticut 


8.5 


3.0 


0.0 


7.9 


3.1 


0.0 


7.0 


3.2 


0.0 


Delaware 


14.3 


6.6 


0.0 


11.8 


5.5 


0.0 


12.4 


4.8 


0.0 


District of C olumbia 


31.1 


10.1 


1.0 


24.0 


12.6 


2.2 


19.7 


10.7 


0.0 


Florida 


14.0 


6.5 


1.8 


13.7 


6.5 


1.8 


13.3 


5.9 


2.2 


G eorgia 


15.2 


7.0 


2.4 


15.0 


7.3 


2.5 


14.5 


7.3 


2.1 


Hawaii 


34.8 


9.4 


0.8 


30.2 


8.7 


1.7 


31.3 


9.6 


1.6 


Idaho 


5.0 


1.2 


0.0 


5.9 


1.9 


0.0 


4.8 


2.3 


0.0 


Illinois 


10.0 


3.2 


0.0 


9.7 


3.1 


0.0 


9.3 


3.3 


0.0 


In d ia n a 


11.6 


4.5 


0.0 


11.1 


4.3 


0.0 


10.0 


4.2 


0.0 


Iowa 


4.9 


1.1 


0.0 


5.0 


1.0 


0.0 


4.9 


0.7 


0.0 


Kansas 


4.8 


1.6 


0.0 


5.1 


1.6 


0.0 


5.0 


1.4 


0.0 


Kentucky 


21.7 


7.8 


1.5 


19.4 


7.8 


1.5 


20.0 


7.3 


1.6 


Louisiana 


15.8 


8.0 


2.3 


16.1 


8.3 


2.3 


15.8 


8.1 


2.9 


Maine 


5.6 


1.9 


0.0 


4.9 


1.9 


0.0 


4.8 


1.7 


0.0 


M a ry la n d 


18.1 


6.7 


0.0 


16.0 


6.0 


0.0 


16.8 


5.7 


0.0 


Massachusetts 


6.8 


2.6 


0.0 


7.4 


2.5 


0.0 


6.6 


2.3 


0.0 


Michigan 


11.7 


4.1 


0.0 


11.3 


4.0 


0.0 


10.7 


3.7 


0.0 


Minnesota 


4.3 


1.5 


0.0 


4.2 


1.5 


0.0 


4.1 


1.4 


0.0 


Mississippi 


15.4 


8.8 


3.2 


16.2 


8.7 


3.3 


16.1 


9.1 


1.9 


Missouri 


9.2 


3.4 


0.0 


9.2 


3.3 


0.0 


9.1 


3.4 


0.0 


M o n ta n a 


4.8 


1.9 


0.0 


5.1 


1.7 


0.0 


5.0 


1.9 


0.0 


Nebraska 


6.6 


1.4 


0.0 


6.5 


1.6 


0.0 


6.5 


1.7 


0.0 


Nevada 


16.3 


3.5 


0.0 


13.2 


5.6 


0.0 


15.6 


5.7 


0.0 


New Hampshire 


4.9 


1.1 


0.0 


3.3 


1.3 


0.0 


4.0 


1.1 


0.0 


New Jersey 


12.5 


5.6 


0.0 


12.2 


5.6 


0.9 


12.1 


5.5 


1.0 


New Mexico 


6.0 


2.1 


0.0 


6.9 


3.1 


0.0 


6.5 


2.4 


0.0 


New York 


15.5 


6.2 


1.2 


14.9 


6.2 


1.7 


13.9 


6.0 


1.5 


North Carolina 


18.3 


7.7 


1.7 


19.5 


7.6 


1.3 


18.8 


7.1 


1.4 


North Dakota 


6.1 


2.2 


0.0 


6.3 


2.0 


0.0 


5.7 


2.0 


0.0 


Ohio 


14.6 


6.3 


1.4 


13.7 


5.8 


0.9 


12.8 


5.3 


0.8 


klahoma 


12.2 


4.8 


0.0 


11.9 


5.4 


0.0 


12.1 


5.4 


0.0 


regon 


6.9 


2.5 


0.0 


6.5 


2.3 


0.0 


6.0 


2.2 


0.0 


Pennsylvania 


13.0 


4.8 


0.0 


12.5 


4.8 


0.0 


11.9 


4.4 


0.7 


R hode Island 


7.9 


2.8 


0.0 


6.7 


2.8 


0.0 


7.0 


2.9 


0.0 


South Carolina 


19.0 


7.4 


1.1 


18.3 


7.9 


1.8 


17.8 


7.4 


1.4 


South Dakota 


5.1 


1.7 


0.0 


4.4 


1.6 


0.0 


4.7 


1.7 


0.0 


Tennessee 


15.1 


6.1 


0.8 


14.2 


6.1 


0.7 


14.5 


6.1 


1.4 


Texas 


14.9 


5.7 


0.0 


15.5 


5.9 


0.0 


14.7 


5.6 


0.0 


Utah 


4.6 


1.5 


0.0 


4.2 


1.8 


0.0 


4.9 


2.0 


0.0 


Vermont 


5.9 


2.4 


0.0 


5.3 


2.0 


0.0 


4.8 


2.2 


0.0 


Virginia 


14.3 


6.3 


0.0 


14.6 


6.3 


1.0 


14.2 


6.0 


0.7 


Washington 


7.8 


3.4 


0.0 


7.8 


2.9 


0.0 


7.7 


3.0 


0.0 


West Virginia 


13.9 


5.1 


0.0 


12.8 


4.9 


0.0 


12.5 


4.7 


0.0 


W isconsin 


5.3 


1.8 


0.0 


5.4 


1.8 


0.0 


4.9 


1.7 


0.0 


W yoming 


4.7 


0.8 


0.0 


2.8 


0.9 


0.0 


2.9 


0.9 


0.0 



Source: MDS 



129 



Tube Feeding 



Table 27. Prevalence of Weight Loss in Nursing Homes by Type of Nursing Home in the 90th, 
Median and 10th Percentile in United States, Quarterly 1999-2001 



1999 










Percent of Residents 














Quarter 1 




C 


luarter 2 




Quarter 3 




Quarter 4 




Percentile 


90th 


Median 


10th 


90th 


Median 


10th 


90th Median 


10th 


90th 


Median 


10th 


Nation 


21.8 


11.4 


4.2 


21.2 


10.8 


3.9 


20.0 


10.2 


3.7 


19.4 


9.9 


3.5 


Ownership 


























Proprietary 


20.8 


11.3 


4.3 


20.2 


10.7 


4.0 


19.0 


10.1 


3.8 


18.3 


9.8 


3.6 


Voluntary Non-Profit 


23.8 


12.0 


4.6 


23.4 


11.3 


4.2 


22.2 


10.5 


3.9 


22.0 


10.3 


4.0 


Government 


20.6 


10.8 


3.7 


20.0 


10.2 


3.8 


18.3 


9.5 


3.5 


18.2 


9.0 


3.2 


Certification 


























Medicare and Medicaid 


21.0 


11.6 


4.8 


20.4 


10.9 


4.5 


19.2 


10.3 


4.2 


18.4 


10.1 


4.1 


Medicare only 


34.4 


16.4 


4.3 


33.1 


15.6 


4.4 


32.8 


15.4 


4.2 


32.2 


14.9 


4.0 


Medicaid only 


17.0 


8.3 


2.1 


16.9 


8.2 


2.2 


15.4 


7.5 


2.0 


14.9 


7.1 


1.8 


Bed Size 


























Less than 50 


28.3 


11.9 


2.5 


27.7 


11.1 


2.5 


27.8 


10.3 


2.2 


27.3 


10.3 


2.2 


50-99 


20.4 


10.7 


3.8 


19.6 


10.1 


3.6 


18.6 


9.6 


3.4 


17.8 


9.2 


3.2 


100 - 199 


20.9 


11.9 


5.3 


20.3 


11.3 


5.0 


19.2 


10.5 


4.8 


18.3 


10.3 


4.5 


200 or more 


19.6 


11.6 


6.0 


19.0 


10.8 


5.5 


18.5 


10.4 


5.0 


17.4 


10.1 


5.1 


2000 










Percent of Residents 














Quarter 1 




C 


luarter 2 




Qu 


arter 3 




Quarter 4 




Percentile 


90th 


Median 


10th 


90th 


Median 


10th 


90th Median 


10th 


90th 


Median 


10th 


Nation 


20.5 


10.7 


3.8 


19.1 


9.7 


3.4 


18.7 


9.5 


3.3 


18.8 


9.6 


3.3 


Ownership 


























Proprietary 


19.5 


10.6 


4.0 


18.2 


9.6 


3.5 


17.7 


9.5 


3.4 


17.8 


9.5 


3.4 


Voluntary Non-Profit 


23.0 


11.4 


4.2 


21.6 


10.4 


3.8 


21.0 


10.0 


3.7 


21.1 


10.1 


3.7 


Government 


18.8 


10.0 


3.4 


18.3 


9.0 


3.3 


17.3 


8.9 


3.0 


18.3 


9.2 


3.3 


Certification 


























Medicare and Medicaid 


19.8 


10.9 


4.5 


18.4 


9.9 


4.0 


17.9 


9.7 


3.9 


18.0 


9.8 


3.9 


Medicare only 


33.3 


15.8 


4.1 


32.3 


14.4 


4.0 


31.7 


14.5 


3.8 


32.1 


14.5 


3.7 


Medicaid only 


16.7 


7.7 


2.0 


15.1 


7.0 


1.2 


14.6 


6.7 


1.5 


14.7 


7.1 


0.9 


Bed Size 


























Less than 50 


28.0 


10.8 


2.4 


27.2 


9.9 


1.1 


26.1 


10.0 


2.0 


27.0 


10.0 


0.8 


50-99 


19.4 


10.0 


3.4 


18.1 


9.2 


3.0 


17.7 


8.9 


2.9 


17.6 


9.0 


2.9 


100 - 199 


19.5 


11.1 


4.9 


18.2 


10.1 


4.5 


17.5 


10.0 


4.4 


17.8 


10.0 


4.4 


200 or more 


18.3 


10.9 


5.6 


16.7 


9.8 


5.2 


16.5 


9.5 


5.0 


17.4 


9.9 


5.1 




2001 










Percent of Residents 














Quarter 1 




C 


luarter 2 




Qu 


arter 3 




Quarter 4 




Percentile 


90th 


Median 


10th 


90th 


Median 


10th 


90th Median 


10th 


90th 


Median 


10th 


Nation 


19.5 


10.1 


3.7 


18.8 


9.7 


3.6 


18.3 


9.5 


3.4 


18.2 


9.3 


3.4 


Ownership 


























Proprietary 


18.4 


10.0 


3.8 


17.7 


9.5 


3.4 


17.5 


9.4 


3.4 


17.4 


9.2 


3.3 


Voluntary Non-Profit 


21.8 


10.7 


3.8 


21.6 


10.2 


4.0 


20.7 


10.0 


3.7 


20.7 


9.8 


3.7 


Government 


19.4 


9.8 


3.4 


18.8 


9.3 


3.3 


18.2 


9.3 


3.2 


18.8 


9.1 


3.0 


Certification 


























Medicare and Medicaid 


18.8 


10.3 


4.2 


18.2 


9.9 


4.1 


17.6 


9.7 


3.9 


17.6 


9.5 


3.8 


Medicare only 


31.6 


14.8 


3.7 


30.5 


14.3 


3.7 


32.1 


14.1 


3.4 


32.1 


13.6 


3.5 


Medicaid only 


15.4 


7.3 


1.2 


14.5 


7.0 


1.6 


14.8 


7.0 


1.5 


14.6 


6.6 


1.3 


Bed Size 


























Less than 50 


27.3 


10.3 


0.9 


26.7 


9.8 


1.8 


26.3 


10.2 


2.1 


25.4 


10.0 


0.8 


50-99 


18.2 


9.5 


3.3 


17.8 


9.2 


3.1 


17.6 


9.1 


3.1 


17.4 


8.9 


3.0 


100 - 199 


18.6 


10.6 


4.8 


17.7 


10.0 


4.5 


17.1 


9.8 


4.3 


17.2 


9.6 


4.2 


200 or more 


17.5 


10.0 


5.4 


16.7 


9.7 


5.2 


15.8 


9.3 


4.9 


16.4 


9.3 


4.7 


Chain 


























No 


19.4 


9.9 


3.5 


18.9 


9.5 


3.4 


18.4 


9.4 


3.3 


18.3 


9.2 


3.2 


Yes 


19.3 


11.2 


5.1 


18.3 


10.6 


4.9 


17.7 


10.2 


4.9 


17.9 


10.1 


4.3 



Source: MDS and OSCAR 



130 



Prevalence of Weight Loss 



Table 28. Prevalence of Weight Loss in Nursing Homes in the 90th, 50th, and 10th 
Percentile in United States, Third Quarter 1999-2001 











Percent of Res 


idents 










1999 Quarter 


3 


2000 Quarter 3 


2001 Quarter 3 


Percentile 


90th 


50th 


10th 


90th 


50th 


10th 


90th 


50th 


10th 


Nation 


20.0 


10.2 


3.7 


18.8 


9.5 


3.4 


18.3 


9.5 


3.4 


Alabama 


22.6 


11.4 


5.4 


20.9 


11.3 


5.4 


19.9 


10.8 


4.9 


Alaska 


18.8 


11.9 


0.0 


20.0 


10.5 


5.3 


19.4 


11.3 


0.0 


Arizona 


20.1 


9.4 


3.9 


20.9 


10.0 


1.9 


17.5 


8.3 


3.5 


Arkansas 


22.5 


11.3 


4.2 


20.3 


9.5 


3.1 


20.3 


9.7 


3.6 


California 


21.5 


9.9 


3.1 


20.3 


9.0 


2.6 


19.2 


9.3 


2.6 


Colorado 


22.2 


10.2 


3.9 


19.2 


10.4 


4.7 


18.5 


9.5 


4.1 


Connecticut 


16.2 


9.8 


4.4 


15.6 


8.8 


3.5 


15.9 


9.3 


4.4 


Delaware 


19.1 


10.6 


5.6 


18.9 


10.3 


3.8 


19.0 


11.5 


3.4 


District of Columbia 


16.4 


10.2 


5.2 


13.9 


8.4 


2.9 


15.5 


10.1 


3.3 


Florida 


22.5 


11.2 


4.8 


21.3 


11.1 


4.8 


19.7 


10.3 


4.3 


G eorgia 


19.0 


10.8 


4.3 


18.0 


10.6 


4.3 


17.8 


10.4 


4.9 


Hawaii 


20.4 


10.8 


3.5 


22.7 


9.9 


2.4 


18.5 


9.8 


3.8 


Idaho 


25.8 


13.5 


3.9 


21.6 


12.4 


5.6 


22.8 


12.5 


4.4 


Illinois 


17.6 


9.0 


3.3 


16.3 


8.2 


2.3 


16.2 


8.3 


2.4 


Indiana 


19.0 


9.9 


3.4 


17.7 


9.4 


2.9 


17.7 


9.1 


3.5 


Iowa 


14.3 


7.5 


2.7 


13.4 


6.8 


2.2 


14.3 


7.6 


2.6 


Kansas 


16.2 


8.0 


2.6 


16.7 


7.5 


2.1 


16.7 


7.9 


1.9 


Kentucky 


24.2 


11.7 


5.0 


22.9 


10.9 


4.5 


20.3 


10.9 


5.0 


Louisiana 


20.0 


9.2 


2.6 


19.1 


8.9 


2.8 


17.7 


9.6 


3.5 


Maine 


15.4 


8.3 


2.0 


16.8 


8.9 


2.7 


19.0 


9.3 


2.8 


Maryland 


20.0 


11.2 


4.4 


18.5 


10.2 


3.6 


18.5 


9.9 


4.3 


Massachusetts 


20.7 


11.8 


4.8 


17.9 


10.4 


4.4 


17.7 


9.8 


4.0 


Michigan 


20.7 


11.5 


5.0 


20.1 


10.0 


4.2 


20.0 


11.2 


3.9 


Minnesota 


16.4 


8.7 


2.8 


15.4 


8.6 


2.9 


16.0 


9.0 


3.7 


Mississippi 


18.6 


9.6 


3.5 


16.4 


8.9 


4.0 


16.7 


9.2 


3.1 


Missouri 


20.8 


10.3 


3.1 


20.0 


9.1 


2.9 


18.5 


8.7 


3.2 


M o n ta n a 


19.8 


11.1 


2.5 


21.4 


11.2 


3.9 


19.6 


9.4 


3.9 


N e b ra s k a 


15.8 


8.6 


2.8 


16.0 


8.3 


2.7 


16.4 


8.3 


2.9 


Nevada 


21.9 


11.5 


5.0 


21.0 


11.1 


6.1 


25.0 


8.8 


1.9 


New Hampshire 


18.8 


10.8 


5.1 


17.5 


10.4 


3.8 


18.2 


11.5 


3.9 


New Jersey 


21.6 


11.7 


5.6 


21.2 


11.5 


5.9 


20.6 


11.8 


5.3 


New Mexico 


20.0 


10.3 


3.7 


22.4 


9.3 


2.9 


22.0 


10.9 


4.9 


New York 


17.4 


9.2 


4.3 


16.3 


8.7 


4.4 


16.4 


8.9 


4.1 


North C arolina 


23.1 


11.1 


4.9 


20.6 


10.8 


4.0 


18.9 


10.5 


5.0 


North Dakota 


15.6 


8.1 


2.6 


14.0 


7.0 


2.7 


14.3 


8.4 


2.9 


Ohio 


19.5 


10.3 


4.0 


17.9 


9.4 


4.0 


17.5 


9.4 


4.0 


klahoma 


18.6 


8.2 


2.4 


18.2 


8.3 


1.8 


16.5 


7.5 


1.5 


re g o n 


19.9 


11.1 


4.5 


18.8 


10.5 


3.7 


20.6 


10.6 


3.7 


Pennsylvania 


21.9 


11.3 


5.3 


20.3 


10.6 


5.1 


19.6 


10.4 


5.1 


R hode Island 


23.0 


12.8 


4.8 


18.1 


11.5 


4.9 


20.2 


11.1 


4.5 


South Carolina 


21.6 


11.1 


4.8 


20.2 


10.6 


5.3 


22.2 


11.5 


4.4 


South Dakota 


16.1 


7.5 


2.3 


15.0 


8.1 


2.7 


15.5 


8.5 


2.9 


Tennessee 


21.6 


11.9 


5.4 


20.2 


11.6 


5.7 


19.4 


10.8 


4.5 


Texas 


19.0 


9.1 


2.4 


16.7 


8.0 


2.4 


15.4 


7.9 


2.2 


Utah 


21.4 


10.5 


3.4 


18.5 


10.5 


2.9 


18.2 


9.9 


3.6 


Vermont 


17.6 


10.8 


5.9 


17.9 


10.2 


5.4 


16.1 


12.0 


5.8 


Virginia 


18.7 


11.2 


5.4 


18.2 


10.1 


4.5 


20.0 


10.8 


4.7 


Washington 


22.8 


13.4 


5.6 


20.3 


11.8 


5.3 


22.5 


12.9 


5.7 


W est Virginia 


21.0 


11.1 


3.4 


20.2 


10.5 


3.8 


19.0 


10.6 


4.5 


W isconsin 


21.0 


11.6 


5.2 


18.2 


10.2 


4.2 


18.2 


10.4 


4.5 


Wyoming 


31.0 


12.3 


3.2 


20.6 


10.4 


0.0 


21.2 


10.9 


3.1 



Source: MDS 



131 



Prevalence of Weight 
Loss in Nursing Homes 



Table 29. Prevalence of Dehydration in Nursing Homes by Type of Nursing Home at the 90th, 
50th, and 10th Percentile: United States, Quarterly 1999-2001 



1999 



Percent of Residents 





Quarter 1 




Quarter 2 




Qua 


rter 3 




Quarter 4 




Percentile 


90th 


Median 


10th 


90th 


Median 


10th 


90th Median 


10th 


90th 


Median 


10th 


Nation 


3.2 


0.0 


0.0 


2.9 


0.0 


0.0 


2.4 


0.0 


0.0 


2.1 


0.0 


0.0 


Ownership 


























Proprietary 


2.8 


0.0 


0.0 


2.6 


0.0 


0.0 


2.1 


0.0 


0.0 


1.9 


0.0 


0.0 


Voluntary Non-Profit 


3.8 


0.0 


0.0 


3.4 


0.0 


0.0 


3.0 


0.0 


0.0 


2.8 


0.0 


0.0 


Government 


3.8 


0.0 


0.0 


3.6 


0.0 


0.0 


3.0 


0.0 


0.0 


2.4 


0.0 


0.0 


Certification 


























Medicare and Medicaid 


2.9 


0.0 


0.0 


2.7 


0.0 


0.0 


2.2 


0.0 


0.0 


2.0 


0.0 


0.0 


Medicare only 


10.3 


1.4 


0.0 


9.2 


1.1 


0.0 


8.7 


0.8 


0.0 


8.0 


0.6 


0.0 


Medicaid only 


1.7 


0.0 


0.0 


1.5 


0.0 


0.0 


1.1 


0.0 


0.0 


1.0 


0.0 


0.0 


Bed Size 


























Less than 50 


7.1 


0.0 


0.0 


6.3 


0.0 


0.0 


5.6 


0.0 


0.0 


5.3 


0.0 


0.0 


50-99 


3.0 


0.0 


0.0 


2.6 


0.0 


0.0 


2.2 


0.0 


0.0 


2.0 


0.0 


0.0 


100 - 199 


2.6 


0.5 


0.0 


2.4 


0.0 


0.0 


1.9 


0.0 


0.0 


1.7 


0.0 


0.0 


200 or more 


2.1 


0.4 


0.0 


1.8 


0.3 


0.0 


1.6 


0.0 


0.0 


1.4 


0.0 


0.0 


2000 










Percent of Residents 














Quarter 1 




Quarter 2 




Qua 


rter 3 




Quarter 4 




Percentile 


90th 


Median 


10th 


90th 


Median 


10th 


90th Median 


10th 


90th 


Median 


10th 


Nation 


2.2 


0.0 


0.0 


1.9 


0.0 


0.0 


1.7 


0.0 


0.0 


1.7 


0.0 


0.0 


Ownership 


























Proprietary 


1.9 


0.0 


0.0 


1.6 


0.0 


0.0 


1.4 


0.0 


0.0 


1.5 


0.0 


0.0 


Voluntary Non-Profit 


2.7 


0.0 


0.0 


2.3 


0.0 


0.0 


2.2 


0.0 


0.0 


2.1 


0.0 


0.0 


Government 


2.9 


0.0 


0.0 


2.6 


0.0 


0.0 


2.3 


0.0 


0.0 


2.2 


0.0 


0.0 


Certification 


























Medicare and Medicaid 


2.0 


0.0 


0.0 


1.7 


0.0 


0.0 


1.5 


0.0 


0.0 


1.6 


0.0 


0.0 


Medicare only 


7.9 


0.5 


0.0 


6.9 


0.0 


0.0 


7.4 


0.0 


0.0 


7.9 


0.0 


0.0 


Medicaid only 


1.1 


0.0 


0.0 


0.8 


0.0 


0.0 


0.7 


0.0 


0.0 


0.0 


0.0 


0.0 


Bed Size 


























Less than 50 


5.3 


0.0 


0.0 


4.7 


0.0 


0.0 


4.8 


0.0 


0.0 


4.5 


0.0 


0.0 


50-99 


2.0 


0.0 


0.0 


1.8 


0.0 


0.0 


1.7 


0.0 


0.0 


1.7 


0.0 


0.0 


100 - 199 


1.7 


0.0 


0.0 


1.4 


0.0 


0.0 


1.3 


0.0 


0.0 


1.3 


0.0 


0.0 


200 or more 


1.4 


0.0 


0.0 


1.2 


0.0 


0.0 


1.0 


0.0 


0.0 


1.0 


0.0 


0.0 


2001 










Percent of Residents 













Percentile 



Quarter 1 
90th Median 



10th 



Quarter 2 
90th Median 



10th 



Quarter 3 
90th Median 



10th 



Quarter 4 
90th Median 10th 



Nation 

Ownership 
Proprietary 
Voluntary Non-Profit 
Government 

Certification 
Medicare and Medicaid 
Medicare only 
Medicaid only 

Bed Size 
Less than 50 
50-99 
100 - 199 
200 or more 



1.7 



0.0 0.0 



1.6 



0.0 0.0 



1.5 



0.0 0.0 



Source: MDS and OSCAR 



1.5 



0.0 0.0 



1.5 


0.0 


0.0 


1.4 


0.0 


0.0 


1.3 


0.0 


0.0 


1.3 


0.0 


0.0 


2.1 


0.0 


0.0 


2.0 


0.0 


0.0 


1.9 


0.0 


0.0 


1.8 


0.0 


0.0 


2.2 


0.0 


0.0 


1.9 


0.0 


0.0 


2.0 


0.0 


0.0 


1.9 


0.0 


0.0 


1.6 


0.0 


0.0 


1.4 


0.0 


0.0 


1.4 


0.0 


0.0 


1.4 


0.0 


0.0 


6.8 


0.0 


0.0 


7.0 


0.0 


0.0 


5.5 


0.0 


0.0 


4.9 


0.0 


0.0 


0.5 


0.0 


0.0 


0.0 


0.0 


0.0 


0.0 


0.0 


0.0 


0.0 


0.0 


0.0 


4.2 


0.0 


0.0 


4.2 


0.0 


0.0 


4.1 


0.0 


0.0 


3.4 


0.0 


0.0 


1.7 


0.0 


0.0 


1.6 


0.0 


0.0 


1.5 


0.0 


0.0 


1.6 


0.0 


0.0 


1.3 


0.0 


0.0 


1.1 


0.0 


0.0 


1.1 


0.0 


0.0 


1.1 


0.0 


0.0 


0.9 


0.0 


0.0 


0.8 


0.0 


0.0 


0.8 


0.0 


0.0 


0.7 


0.0 


0.0 



Chain 


























No 


1.7 


0.0 


0.0 


1.6 


0.0 


0.0 


1.5 


0.0 


0.0 


1.6 


0.0 


0.0 


Yes 


1.5 


0.0 


0.0 


1.4 


0.0 


0.0 


1.3 


0.0 


0.0 


1.3 


0.0 


0.0 



132 



Prevalence of Dehydration by 
Type of Nursing Home 



Table 30. Prevalence of Dehydration in Nursing Homes at the 90th, 50th, and 10th Percentile: 
United States, Third Quarter 1999-2001 



Percent Residents 




1999 Q 


uarter3 




2000 Quarter 3 




2001 Quarter 3 




Percentile 


90th 


50th 


10th 


90th 


50th 


10th 


90th 


50th 


10th 


Nation 


2.4 


0.0 


0.0 


1.7 


0.0 


0.0 


1.5 


0.0 


0.0 


Alabama 


2.0 


0.0 


0.0 


1.4 


0.0 


0.0 


1.2 


0.0 


0.0 


Alaska 


6.7 


0.0 


0.0 


12.0 


0.0 


0.0 


4.3 


0.0 


0.0 


Arizona 


3.6 


0.7 


0.0 


2.2 


0.0 


0.0 


1.4 


0.0 


0.0 


Arkansas 


2.5 


0.0 


0.0 


1.7 


0.0 


0.0 


1.4 


0.0 


0.0 


California 


2.9 


0.0 


0.0 


1.7 


0.0 


0.0 


1.5 


0.0 


0.0 


Colorado 


3.5 


0.0 


0.0 


1.9 


0.0 


0.0 


1.6 


0.0 


0.0 


Connecticut 


2.0 


0.0 


0.0 


1.4 


0.0 


0.0 


1.4 


0.0 


0.0 


Delaware 


1.5 


0.0 


0.0 


1.3 


0.0 


0.0 


1.3 


0.0 


0.0 


District of Columbia 


1.7 


0.0 


0.0 


3.2 


0.0 


0.0 


1.0 


0.0 


0.0 


Florida 


2.3 


0.0 


0.0 


1.1 


0.0 


0.0 


1.0 


0.0 


0.0 


G eorgia 


1.8 


0.0 


0.0 


1.3 


0.0 


0.0 


1.4 


0.0 


0.0 


Hawaii 


1.6 


0.0 


0.0 


1.0 


0.0 


0.0 


1.9 


0.0 


0.0 


Idaho 


3.9 


0.0 


0.0 


2.4 


0.0 


0.0 


2.9 


0.0 


0.0 


Illinois 


1.4 


0.0 


0.0 


0.9 


0.0 


0.0 


0.8 


0.0 


0.0 


In d ia n a 


2.3 


0.0 


0.0 


1.5 


0.0 


0.0 


1.0 


0.0 


0.0 


Iowa 


1.7 


0.0 


0.0 


1.3 


0.0 


0.0 


0.7 


0.0 


0.0 


Kansas 


2.4 


0.0 


0.0 


1.9 


0.0 


0.0 


1.6 


0.0 


0.0 


Kentucky 


2.4 


0.0 


0.0 


1.5 


0.0 


0.0 


1.4 


0.0 


0.0 


Louisiana 


3.3 


0.0 


0.0 


2.0 


0.0 


0.0 


2.0 


0.0 


0.0 


Maine 


2.7 


0.0 


0.0 


2.4 


0.0 


0.0 


2.2 


0.0 


0.0 


Maryland 


2.2 


0.0 


0.0 


1.6 


0.0 


0.0 


1.4 


0.0 


0.0 


Massachusetts 


3.2 


0.2 


0.0 


1.9 


0.0 


0.0 


1.9 


0.0 


0.0 


Michigan 


2.4 


0.0 


0.0 


1.5 


0.0 


0.0 


1.3 


0.0 


0.0 


Minnesota 


1.8 


0.0 


0.0 


1.4 


0.0 


0.0 


1.2 


0.0 


0.0 


Mississippi 


1.6 


0.0 


0.0 


1.6 


0.0 


0.0 


0.8 


0.0 


0.0 


Missouri 


3.1 


0.0 


0.0 


2.2 


0.0 


0.0 


1.9 


0.0 


0.0 


M o n ta n a 


4.6 


0.0 


0.0 


3.2 


0.0 


0.0 


3.0 


0.0 


0.0 


Nebraska 


2.1 


0.0 


0.0 


1.8 


0.0 


0.0 


1.5 


0.0 


0.0 


Nevada 


2.8 


0.0 


0.0 


2.0 


0.0 


0.0 


1.0 


0.0 


0.0 


New Hampshire 


2.9 


0.0 


0.0 


1.7 


0.0 


0.0 


1.5 


0.0 


0.0 


New Jersey 


1.7 


0.0 


0.0 


1.3 


0.0 


0.0 


1.4 


0.0 


0.0 


New Mexico 


3.1 


0.0 


0.0 


1.5 


0.0 


0.0 


1.1 


0.0 


0.0 


New York 


1.6 


0.0 


0.0 


1.2 


0.0 


0.0 


1.1 


0.0 


0.0 


North Carolina 


2.4 


0.0 


0.0 


1.9 


0.0 


0.0 


1.6 


0.0 


0.0 


North Dakota 


2.3 


0.0 


0.0 


1.3 


0.0 


0.0 


2.0 


0.0 


0.0 


Ohio 


2.2 


0.0 


0.0 


1.4 


0.0 


0.0 


1.1 


0.0 


0.0 


klahoma 


2.8 


0.0 


0.0 


2.5 


0.0 


0.0 


1.9 


0.0 


0.0 


re g o n 


3.6 


0.0 


0.0 


2.6 


0.0 


0.0 


2.1 


0.0 


0.0 


Pennsylvania 


2.4 


0.0 


0.0 


1.4 


0.0 


0.0 


1.2 


0.0 


0.0 


Rhode Island 


2.2 


0.0 


0.0 


1.6 


0.0 


0.0 


1.7 


0.0 


0.0 


South Carolina 


2.1 


0.0 


0.0 


2.3 


0.0 


0.0 


2.0 


0.0 


0.0 


South Dakota 


2.3 


0.0 


0.0 


2.3 


0.0 


0.0 


1.9 


0.0 


0.0 


Tennessee 


2.9 


0.0 


0.0 


1.5 


0.0 


0.0 


1.6 


0.0 


0.0 


Texas 


2.3 


0.0 


0.0 


1.4 


0.0 


0.0 


1.2 


0.0 


0.0 


Utah 


3.0 


0.0 


0.0 


2.8 


0.0 


0.0 


2.8 


0.0 


0.0 


Vermont 


3.0 


0.0 


0.0 


2.4 


0.0 


0.0 


3.2 


0.0 


0.0 


Virginia 


1.9 


0.0 


0.0 


2.2 


0.0 


0.0 


1.5 


0.0 


0.0 


Washington 


6.6 


1.4 


0.0 


4.4 


1.0 


0.0 


4.9 


1.1 


0.0 


W est Virginia 


3.2 


0.0 


0.0 


3.2 


0.0 


0.0 


2.0 


0.0 


0.0 


W isconsin 


2.0 


0.0 


0.0 


1.8 


0.0 


0.0 


1.5 


0.0 


0.0 


Wyoming 


2.5 


0.0 


0.0 


3.4 


0.0 


0.0 


2.0 


0.0 


0.0 



Source: MDS 



133 



Prevalence of Dehydration 
by State 



Table 31. Prevalence of Severe Bowel 
the 90th, Median, and 10th Percentile 



or Bladder Incontinence by Type of Nursing Home at 
: United States, Quarterly 1999-2001 



1999 










Percent of Residents 














Quarter 1 




Quarter 2 




Quarter 3 




Quarter 4 




Percentile 


90th 


Median 


10th 


90th 


Median 


10th 


90th Median 


10th 


90th 


Median 


10th 


Nation 


56.1 


35.7 


13.6 


56.3 


35.6 


13.5 


56.4 


36.0 


13.8 


56.3 


35.9 


13.6 


Ownership 


























Proprietary 


57.0 


38.1 


18.6 


57.0 


38.2 


18.5 


57.1 


38.3 


18.8 


57.1 


38.2 


18.6 


Voluntary Non-Profit 


52.9 


30.1 


9.1 


52.8 


30.0 


9.1 


53.3 


30.4 


8.5 


53.3 


30.4 


8.6 


Government 


56.6 


33.3 


13.1 


56.8 


33.3 


13.2 


57.7 


33.8 


13.1 


57.6 


33.3 


12.5 


Certification 


























Medicare and Medicaid 


56.8 


37.5 


18.1 


56.7 


37.4 


18.0 


56.9 


37.7 


18.3 


56.9 


37.7 


17.9 


Medicare only 


44.1 


18.1 


3.7 


43.5 


17.2 


3.6 


43.2 


18.3 


3.4 


44.0 


18.1 


3.5 


Medicaid only 


54.2 


31.7 


9.5 


55.0 


31.6 


9.7 


54.8 


32.1 


10.0 


54.1 


31.9 


9.9 


Bed Size 


























Less than 50 


52.0 


23.1 


4.7 


52.0 


22.9 


4.8 


51.7 


23.1 


4.3 


52.1 


23.2 


4.3 


50-99 


57.0 


34.8 


15.0 


56.9 


34.7 


14.9 


57.1 


34.8 


15.1 


57.1 


34.6 


14.7 


100 - 199 


55.8 


38.5 


21.0 


55.8 


38.6 


20.8 


56.0 


38.9 


21.3 


56.0 


38.8 


21.1 


200 or more 


58.0 


40.5 


19.8 


58.8 


40.5 


19.0 


58.4 


40.7 


19.3 


57.9 


41.1 


19.0 


2000 










Percent of Residents 














Quarter 1 




Quarter 2 




Quarter 3 




Quarter 4 




Percentile 


90th 


Median 


10th 


90th 


Median 


10th 


90th Median 


10th 


90th 


Median 


10th 


Nation 


55.9 


35.3 


13.6 


55.8 


35.2 


13.4 


56.3 


35.7 


13.5 


56.4 


35.6 


13.5 


Ownership 


























Proprietary 


56.8 


37.6 


17.9 


56.7 


37.6 


17.8 


57.1 


38.2 


18.1 


57.1 


38.2 


17.9 


Voluntary Non-Profit 


52.8 


29.7 


8.3 


52.6 


29.5 


8.2 


53.3 


30.0 


8.2 


53.3 


30.0 


8.1 


Government 


56.7 


32.4 


11.9 


57.1 


32.6 


11.6 


56.6 


33.0 


11.8 


57.4 


32.7 


10.9 


Certification 


















11.5 








Medicare and Medicaid 


56.5 


37.0 


17.4 


56.5 


36.8 


17.2 


56.9 


37.6 


17.5 


56.9 


37.5 


17.2 


Medicare only 


43.0 


17.1 


3.1 


43.1 


16.7 


2.9 


45.0 


16.7 


3.1 


45.2 


16.0 


2.8 


Medicaid only 


53.8 


31.0 


9.4 


54.2 


31.1 


9.3 


54.3 


31.6 


10.0 


54.9 


31.5 


9.7 


Bed Size 


























Less than 50 


51.9 


22.9 


4.1 


51.7 


22.2 


3.9 


52.8 


22.7 


3.8 


52.7 


23.3 


3.7 


50-99 


56.2 


33.8 


14.3 


55.8 


33.3 


14.3 


56.4 


34.1 


14.5 


56.7 


34.1 


14.3 


100 - 199 


55.9 


38.3 


20.5 


55.9 


38.3 


20.5 


56.3 


38.8 


20.8 


56.3 


38.8 


20.7 


200 or more 


57.5 


40.4 


18.9 


57.7 


40.4 


18.1 


57.9 


40.7 


18.5 


57.6 


40.7 


17.8 




2001 










Percent of Residents 














Quarter 1 




Quarter 2 




Que 


irter 3 




Quarter 4 




Percentile 


90th 


Median 


10th 


90th 


Median 


10th 


90th Median 


10th 


90th 


Median 


10th 


Nation 


55.9 


35.1 


13.3 


56.0 


35.1 


13.2 


56.4 


35.5 


13.3 


56.7 


35.6 


13.3 


Ownership 


























Proprietary 


56.9 


37.7 


17.4 


57.1 


37.5 


17.3 


57.4 


37.9 


17.4 


57.5 


38.1 


17.5 


Voluntary Non-Profit 


52.5 


29.7 


7.7 


52.8 


29.1 


7.7 


53.1 


29.7 


7.7 


52.9 


29.7 


7.8 


Government 


56.9 


31.5 


10.5 


56.5 


31.6 


11.1 


57.5 


32.0 


10.3 


57.1 


32.0 


9.3 


Certification 


























Medicare and Medicaid 


56.6 


36.9 


16.9 


56.6 


36.8 


16.8 


57.1 


37.1 


16.9 


57.1 


37.1 


16.9 


Medicare only 


42.6 


16.0 


2.5 


43.1 


15.2 


2.9 


43.6 


15.6 


2.7 


43.9 


15.0 


2.3 


Medicaid only 


54.0 


30.6 


7.5 


54.7 


30.3 


7.1 


54.9 


30.8 


7.7 


55.4 


30.6 


8.0 


Bed Size 


























Less than 50 


51.7 


22.0 


3.1 


52.9 


21.6 


3.6 


53.2 


21.6 


3.4 


53.5 


22.0 


2.9 


50-99 


55.8 


33.3 


14.0 


55.8 


33.8 


14.0 


56.3 


33.9 


13.8 


56.5 


34.0 


13.8 


100 - 199 


56.1 


38.3 


20.0 


56.0 


38.3 


19.9 


56.4 


38.5 


20.2 


56.6 


38.7 


19.8 


200 or more 


58.3 


40.9 


21.8 


58.6 


40.6 


22.0 


58.8 


41.5 


21.9 


59.0 


41.1 


22.0 


Chain 


























No 


55.7 


34.4 


12.5 


55.8 


34.3 


12.2 


56.3 


34.6 


12.3 


56.4 


34.7 


12.3 


Yes 


56.5 


38.5 


20 


56.5 


38.5 


19.4 


57.2 


39.2 


20 


57.5 


39.4 


20 



Source: MDS and OSCAR 



134 



Prevalence of Bowel & Bladder 
Incontinence 



Table 32. Prevalence of Severe 
10th Percentile: United States, 



Bowel or Bladder Incontinence by State at the 90th, 50th, and 
Third Quarter 1999-2001. 



Percent of Residents 




1999 Quarter 3 




2000 Q 


uarter 3 




2001 Quarter 3 




Percentile 


90th 


50th 


10th 


90th 


50th 


10th 


90th 


50th 


10th 


Nation 


56.4 


36.0 


13.8 


56.3 


35.7 


13.5 


56.4 


35.5 


13.3 


Alabama 


57.4 


43.3 


29.4 


54.9 


42.1 


26.9 


56.5 


42.0 


28.9 


Alaska 


51.7 


23.5 


11.9 


59.8 


18.0 


10.0 


57.4 


25.0 


2.2 


Arizona 


52.3 


36.8 


15.4 


47.8 


35.7 


16.5 


48.3 


35.7 


15.9 


Arkansas 


52.2 


37.8 


21.9 


52.0 


38.8 


22.9 


50.8 


38.6 


21.1 


California 


66.2 


47.6 


19.2 


67.5 


47.2 


18.6 


68.3 


47.8 


17.9 


Colorado 


42.0 


27.1 


9.7 


43.1 


27.0 


10.5 


42.4 


27.3 


10.2 


Connecticut 


43.5 


30.5 


16.5 


44.5 


30.3 


15.5 


46.0 


30.5 


13.6 


Delaware 


56.1 


40.4 


21.8 


50.9 


39.8 


22.0 


56.3 


40.4 


21.6 


District of Columbia 


64.8 


52.1 


23.0 


65.7 


49.2 


30.4 


63.1 


47.0 


29.9 


Florida 


53.9 


38.6 


16.3 


54.0 


38.8 


18.0 


54.0 


38.2 


18.8 


Georgia 


58.5 


44.2 


29.5 


57.9 


44.9 


30.1 


59.7 


45.5 


31.0 


Hawaii 


73.8 


49.5 


22.2 


77.8 


50.5 


17.7 


71.6 


50.3 


27.8 


Idaho 


44.3 


27.0 


9.1 


43.1 


28.9 


11.4 


41.8 


28.6 


9.3 


Illinois 


41.1 


24.5 


7.7 


40.6 


24.2 


7.2 


41.3 


23.9 


6.7 


Indiana 


47.8 


32.9 


14.3 


48.5 


31.9 


13.3 


50.0 


32.1 


12.7 


Iowa 


33.9 


18.2 


6.7 


34.5 


18.2 


7.5 


37.1 


18.3 


7.3 


Kansas 


40.0 


23.2 


9.4 


38.6 


23.4 


8.3 


38.5 


24.4 


7.0 


Kentucky 


60.6 


46.6 


16.0 


60.4 


45.9 


16.8 


59.7 


45.1 


18.5 


Louisiana 


51.0 


37.9 


25.6 


52.1 


38.1 


23.8 


53.0 


39.1 


26.1 


Maine 


57.3 


36.6 


10.2 


58.5 


34.5 


12.9 


57.1 


31.6 


11.0 


Maryland 


63.6 


47.4 


12.5 


61.1 


46.0 


13.2 


60.3 


44.4 


16.3 


Massachusetts 


58.2 


41.7 


14.8 


59.3 


41.1 


17.1 


58.0 


40.9 


14.6 


Michigan 


50.5 


32.7 


17.6 


48.6 


31.1 


15.4 


48.7 


30.8 


14.9 


Minnesota 


44.2 


27.2 


12.8 


43.3 


26.6 


11.6 


42.5 


24.9 


9.5 


Mississippi 


58.7 


44.2 


22.6 


57.6 


45.2 


23.8 


58.0 


45.5 


27.3 


Missouri 


44.0 


29.6 


12.8 


43.3 


27.1 


11.8 


44.3 


26.3 


10.7 


Montana 


41.7 


26.2 


9.1 


39.6 


23.3 


10.3 


41.1 


23.7 


8.0 


Nebraska 


34.8 


19.4 


6.1 


35.9 


20.1 


6.6 


37.3 


20.0 


6.8 


Nevada 


58.8 


37.8 


13.0 


57.4 


40.2 


11.6 


58.4 


47.9 


16.7 


New Hampshire 


39.5 


25.4 


14.8 


38.2 


24.0 


11.2 


38.1 


21.7 


10.9 


New Jersey 


50.0 


37.0 


18.6 


51.3 


36.8 


17.7 


51.6 


37.0 


19.9 


New Mexico 


48.3 


36.2 


15.9 


48.2 


35.8 


20.0 


48.9 


36.2 


15.3 


New York 


59.7 


41.9 


22.7 


58.8 


42.2 


23.0 


59.6 


40.9 


23.1 


North Carolina 


61.6 


47.3 


28.0 


63.5 


48.0 


26.4 


62.1 


47.3 


27>7 


North Dakota 


37.5 


24.1 


9.1 


38.6 


23.0 


7.1 


33.3 


21.0 


7.8 


Ohio 


45.5 


29.5 


13.1 


43.7 


28.6 


13.0 


43.5 


28.3 


12.3 


Oklahoma 


46.9 


33.3 


18.6 


45.5 


31.6 


20.3 


45.9 


31.9 


17.2 


Oregon 


52.4 


35.2 


19.7 


53.2 


35.5 


21.3 


52.9 


35.0 


19.3 


Pennsylvania 


60.4 


43.2 


10.4 


60.6 


43.4 


12.0 


61.0 


43.3 


14.7 


Rhode Island 


44.0 


27.6 


13.8 


42.2 


28.0 


12.1 


47.7 


28.3 


11.5 


South Carolina 


66.3 


54.4 


24.3 


65.2 


52.3 


21.0 


66.7 


52.7 


23.3 


South Dakota 


36.8 


21.8 


6.8 


38.3 


22.6 


10.2 


38.0 


24.7 


8.3 


Tennessee 


58.7 


44.0 


24.0 


59.3 


43.9 


20.8 


59.6 


43.8 


22.0 


Texas 


60.4 


45.2 


25.6 


60.7 


45.9 


27.3 


61.4 


46.1 


27.0 


Utah 


44.6 


29.1 


7.9 


44.4 


30.1 


9.0 


46.0 


27.7 


8.3 


Vermont 


40.3 


30.4 


18.9 


45.5 


28.6 


20.6 


50.0 


30.2 


20.6 


Virginia 


64.7 


50.0 


29.0 


64.7 


48.8 


26.1 


62.9 


49.3 


27.5 


Washington 


48.5 


31.0 


13.8 


48.4 


32.3 


16.8 


48.2 


31.8 


16.2 


West Virginia 


54.3 


38.3 


13.3 


54.1 


38.6 


10.8 


53.2 


37.7 


8.3 


Wisconsin 


37.5 


23.5 


9.1 


37.8 


23.5 


8.5 


37.0 


22.2 


8.3 


Wyoming 


28.6 


14.7 


2.6 


30.6 


17.3 


2.8 


30.0 


19.2 


4.3 



Source: MDS 



135 



Prevalence of Bowel & Bladder 
Tnrnntinpnrp 



Nursing Home Survey 

Results 



136 



Nursing Home Survey 
Results 

Mean Number of Health 
Deficiencies 

■ Nationally, the average number of health 
deficiencies per nursing home survey 
increased from 5.1 in 1996 to 6.3 in 2001. In 
2001, the mean number of deficiencies * 
varied from 3.2 in Vermont to 11.3 in 

California. 

Figure 30; Tables 33(f) and 34(f) 

■ Since 1997, the percentage of nursing home 
surveys that do not result in health 
deficiencies has decreased by almost half. 
While 22 percent of nursing home surveys 
did not result in health deficiencies in 1997, 
slightly more than 11 percent were without 
deficiencies 2001. 

Figure 33; Tables 35(a)-35(f) and 36(a)-36(f) 

Technical Notes: 

These data are from the CMS's Online Survey Certification and Reporting (OSCAR) System, an administrative 
database that captures data about the survey and certification process. Data from OSCAR are a combination of 
self-reported data from nursing facilities and compliance data gathered by survey teams. 

Note that for all of the calendar year calculations of health deficiencies, the weighting scheme is unique. The 
facility that was not surveyed during the particular calendar year is not counted and the facility that was surveyed 
twice during the year is doubly counted, giving it a weight of 2. 

The percentage of surveys resulting in zero deficiencies is defined as the number of nursing home surveys that 
received zero deficiencies divided by the number of surveys conducted that year. 



Nursing Home 
Survey Results 



Scope and Severity of Health 
Deficiencies 

■ More citations are for isolated deficiencies 
that caused minimal harm to residents than 
for any other level of scope and severity. The 
percentage of deficiencies cited at that level 
of scope and severity (D-level) increased 
from 31 to 50 percent from 1996 to 2001. 

Figures 36 and 37; Tables 3 7(a) -3 7(f) 

■ The percentage of nursing home surveys 
resulting in a health deficiency of actual 
harm or immediate jeopardy increased each 
year from 1996 to 1999. Since 1999, 
however, the percentage has dropped to the 
lowest level of that time period. In 1999, 
more than 31 percent of facilities were cited 
at these levels. In 2001, about 21 percent of 
facilities were cited for deficiencies at actual 
harm, well below thel996 rate of 26.3 
percent. 

Figure 38; Tables 38(a)-38(f) and 39(a)-39(f) 

Technical Notes: 



The percentage of deficiencies with the 
highest level of severity, immediate 
jeopardy, has increased by four-fold since 
1996. However, only a small proportion of 
surveys result in citations at this level: in 
2001, the citation rate was 2.4 percent. 

Figures 41, Tables 40(a)-40(f) and 41(a)-41(f) 



Data in this report are from the CMS's Online Survey Certification and Reporting (OSCAR) System, an 
administrative database that captures data about the survey and certification process. Data from OSCAR are a 
combination of self-reported data from nursing facilities and compliance data gathered by state and federal 
compliance survey teams. 

In distributions of the scope and severity by year, the denominator is the number of citations, not nursing homes 
or surveys. 

Note that for all of the calendar year calculations of health deficiencies, the weighting scheme is unique. The 
facility that was not surveyed during the particular calendar year is not counted and the facility that was surveyed 
twice during the year is doubly counted, giving it a weight of 2. 

An " actual harm " deficiency is defined as a deficiency citation that is rated at scope and severity 'G' or more 
severe. 

Immediate jeopardy is a deficiency that constitutes an immediate threat to the health or life of one or more 
nursing home residents. Immediate jeopardy is determined when a deficiency is scored by Federal or state 
surveyors at the scope and severity of "J", "K" or "L". 



138 



I 



Substandard Quality of Care Citations 

■ The percentage of nursing home surveys 
resulting in citations for substandard quality of 
care decreased from 5.5 percent in 1998 to 4.3 
percent in 2001. 

Figure 43; Tables 42(a)-42(f) and 43(a)-43(f) 



The number of states citing one percent or 
fewer facilities for substandard quality of care 
has fluctuated between 1 and 7 over time. It 
was greatest in 1996 and 1997 and lowest in 
1999. 



Figures 44 and 45; 
43(a)-43(f) 



Tables 42(a)-42(f) and 



Technical Notes: 

These data are from the CMS's Online Survey Certification and Reporting (OSCAR) System, an administrative 
database that captures data about the survey and certification process. Data from OSCAR are a combination of self- 
reported data from nursing facilities and compliance data gathered by survey teams. 

Note that for all of the calendar year calculations of health deficiencies, the weighting scheme is unique. The facility 
that was not surveyed during the particular calendar year is not counted and the facility that was surveyed twice 
during the year is doubly counted, giving it a weight of 2. 

Substandard Quality of Care (SQQ is defined as any deficiency in the Code of Federal Regulations (42 CFR 483.13 
Resident Behavior and Facility Practices, 42 CFR 483.15 Quality of Life, or 42CFR 483.25 Quality of Care), at a scope 
and severity level of F, H, I, J, K, or L. 



139 



I 



Abuse, Restraint Use, and Pressure 
Ulcer Citations 

■ During the four-year period (1996 to 2001), no 
more than 2.1 percent of surveys per year 
resulted in citations related to abuse of 
nursing home residents. The rate fluctuates 
from year to year, but has declined steadily 
since 1999, when it was 2.1 percent. In 2001, 
14 states cited no instances of abuse in 
nursing homes, while 3 states cited this 
deficiency in 5 percent or more of its surveys. 

Figures 46, 47, and 48; Tables 44(a)-44(f) and 
45(a)-45(f) 



The proportion of nursing home surveys 
resulting in citations for the improper use of 
physical and chemical restraints has declined 
since 1996, but remained constant from 2000 
to 2001. 



Figures 49 and 50, 
47(a)-47(f) 



Tables 46(a)-46(f) and 



The pressure ulcer citation rate declined from 
a high of 18.9 percent in 1999. The rate further 
declined to 17.2 percent in 2001. 



Figures 51 and 52, 
49(a)-49(f) 



Tables 48(a)-48(f) and 



Technical Notes: 

These data are from the CMS's Online Survey Certification and Reporting (OSCAR) System, an administrative 
database that captures data about the survey and certification process. Data from OSCAR are a combination of 
self-reported data from nursing facilities and compliance data gathered by state survey teams. 

Note that for all of the calendar year calculations of health deficiencies, the weighting scheme is unique. The 
facility that was not surveyed during the particular calendar year is not counted and the facility that was surveyed 
twice during the year is doubly counted, giving it a weight of 2. 

Abuse citations are those deficiencies cited under tag F223 of the Interpretive Guidelines from the "State 
Operations Manual for Provider Certification" 

Restraint use citations are those deficiencies cited under tags F221-F222 of the Interpretive Guidelines from the 
"State Operations Manual for Provider Certification" 

Pressure ulcer citations are those deficiencies cited under tag F314 of the Interpretive Guidelines from the "State 
Operations Manual for Provider Certification" 



140 



II 
I 



Figure 58. Scope and Severity Grid used by Federal Nursing Home Regulation and 
Enforcement Surveyors 



a> 
> 
a) 



Immediate Jeopardy 

to resident health or 
safety 



Actual Harm that is 
not Immediate 
Jeopardy 



No Actual Harm with 
Potential for More 
than Minimal Harm 

that is not Immediate 
Jeopardy 



No Actual Harm with 
Potential for Minimal 
Harm 



J 


K 


L 


G 


H 


I 


D 


E 


F 


A 


B 


C 



Isolated 



Pattern 



Widespread 



141 



I 
p 



Figure 36 (a). Percent Distribution of Scope and Severity of Health Deficiency Citations by 

Year: United States, 1996-2001 



1996 



Immediate 
Jeopardy 



Actual 
Harm 



Greater Than 

Minimal 

Harm 



Minimal 
Harm 



Isolated 

0.1 

j 


Pattern 

0.1 
K 


Widespread 

0.1 
L 


9.8 
G 


2.5 
H 


0.4 
I 


31.0 
D 


23.6 
E 


5.6 
F 


N/A 
A 


16.7 
B 


10.0 

c 



Isolated 



Pattern 



Widespread 



1997 



SOURCE: OSCAR 



Immediate 
Jeopardy 

Actual 
Harm 



Greater Than 

Minimal 
Harm 

Minimal 
Harm 



0.2 
J 


0.2 
K 


0.1 
L 


11.1 
G 


1.7 
H 


0.2 
I 


38.2 
D 


22.0 
E 


5.0 
F 


N/A 
A 


13.7 
B 


7.9 
C 



142 



Figure 36 (b). Percent Distribution of Scope and Severity of Health Deficiency Citations by 

Year: United States, 1996-2001 



Isolated 



Pattern 



Widespread 



1998 



Immediate 
Jeopardy 

Actual 
Harm 

Greater Than 

Minimal 
Harm 

Minimal 
Harm 



0.3 
J 


0.3 
K 


0.1 
L 


11.3 
G 


1.7 
H 


0.1 
I 


40.7 
D 


22.1 
E 


5.1 
F 


N/A 
A 


10.8 
B 


6.8 
C 



Isolated 



Pattern 



Widespread 



1999 



Immediate 
Jeopardy 

Actual 
Harm 

Greater Than 

Minimal 

Harm 

Minimal 
Harm 



0.3 
J 


0.2 
K 


0.1 
L 


10.6 
G 


1.3 
H 


0.1 
I 


43.7 
D 


23.1 
E 


5.5 
F 


N/A 
A 


8.6 
B 


6.4 
C 



SOURCE: OSCAR 



143 



Figure 36 (c). Percent Distribution of Scope and Severity of Health Deficiency Citations by 

Year: United States, 1996-2001 



Isolated 



Pattern 



Widespread 



2000 



Immediate 
Jeopardy 

Actual 
Harm 

Greater Than 

Minimal 

Harm 

Minimal 
Harm 



0.3 
J 


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Isolated 



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5.7 
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Table 33 (b). Mean 
Bed Size Category: 



Number of Health Deficiencies Cited in Nursing Home Surveys by 
United States, 1997 







Mean Number of Beds 








<50 


50-99 


100-199 


>199 


All Facilities 


ation 


3.3 


5.0 


5.4 


5.7 


4.9 


Alabama 


3.5 


4.6 


7.3 


9.4 


6.1 


Alaska 


2.0 


7.5 


n/a 


14.0 


3.4 


Arizona 


3.6 


5.5 


5.4 


5.7 


5.1 


Arkansas 


6.1 


7.0 


7.8 


9.9 


7.4 


California 


7.7 


10.7 


13.3 


16.2 


10.8 


Colorado 


1.2 


2.2 


3.1 


3.4 


2.3 


Connecticut 


0.8 


1.2 


2.4 


2.6 


2.0 


Delaware 


2.4 


4.7 


8.9 


10.0 


7.0 


District of Columbia 


3.6 


2.5 


6.9 


6.1 


5.0 


Florida 


3.2 


5.6 


7.3 


9.4 


6.5 


Georgia 


0.8 


1.6 


3.6 


2.8 


2.7 


Hawaii 


6.4 


6.0 


8.1 


6.3 


6.6 


Idaho 


5.2 


7.2 


7.7 


n/a 


6.6 


Illinois 


3.6 


6.0 


6.2 


7.5 


6.0 


Indiana 


5.4 


6.5 


7.6 


7.1 


6.8 


Iowa 


2.4 


4.6 


6.4 


8.1 


4.7 


Kansas 


4.6 


6.5 


9.4 


5.0 


6.5 


Kentucky 


1.5 


2.8 


3.7 


19.8 


3.1 


Louisiana 


1.3 


4.1 


5.2 


3.9 


4.3 


Maine 


2.0 


2.7 


3.3 


5.0 


2.6 


Maryland 


1.4 


1.3 


2.7 


3.1 


2.2 


Massachusetts 


1.6 


2.1 


3.2 


3.2 


2.6 


Michigan 


6.4 


7.4 


9.5 


10.1 


8.6 


Minnesota 


2.9 


2.1 


3.5 


4.1 


2.8 


Mississippi 


2.0 


3.8 


4.8 


7.0 


3.8 


Missouri 


2.1 


3.4 


4.2 


4.6 


3.6 


Montana 


3.2 


2.8 


4.7 


3.0 


3.4 


Nebraska 


2.2 


2.6 


3.0 


2.2 


2.6 


Nevada 


8.9 


18.3 


21.4 


13.5 


15.2 


New Hampshire 


3.8 


3.8 


3.8 


3.6 


3.8 


New Jersey 


1.5 


1.8 


2.3 


3.6 


2.4 


New Mexico 


1.1 


2.1 


2.5 


0.0 


2.0 


New York 


1.9 


2.1 


2.4 


2.1 


2.2 


North Carolina 


0.8 


2.9 


4.7 


4.8 


3.6 


North Dakota 


5.1 


7.7 


11.3 


4.0 


7.9 


Ohio 


3.0 


3.9 


4.4 


5.4 


4.1 


Oklahoma 


2.7 


4.5 


4.7 


5.4 


4.3 


Oregon 


3.5 


5.1 


4.9 


2.0 


4.7 


Pennsylvania 


1.8 


2.9 


3.8 


3.6 


3.2 


Rhode Island 


1.7 


2.6 


4.4 


4.0 


3.2 


South Carolina 


5.6 


6.9 


9.9 


8.2 


7.8 


South Dakota 


3.5 


2.8 


5.1 


3.0 


3.2 


Tennessee 


1.6 


2.5 


2.7 


3.7 


2.5 


Texas 


1.6 


4.6 


5.0 


5.5 


4.3 


Utah 


1.8 


3.6 


4.4 


3.5 


3.4 


Vermont 


1.7 


1.2 


2.6 


n/a 


1.9 


Virginia 


0.9 


2.4 


4.6 


4.6 


3.3 


Washington 


6.3 


8.2 


9.0 


13.0 


8.4 


West Virginia 


4.1 


5.5 


6.7 


22.3 


6.1 


Wisconsin 


1.5 


3.7 


3.9 


5.4 


3.7 


Wyoming 


6.1 


6.6 


5.5 


8.0 


6.2 



Source: OSCAR 
n/a: Data unavailable 



168 



Health Deficiency Citations by 
Bed Size & State 



Table 33 (c). Mean 
Bed Size Category: 



Number of Health Deficiencies Cited in Nursing Home Surveys by 
United States, 1998 







Mean Number of Beds 








<50 


50-99 


100-199 


>199 


All Facilities 


ation 


3.4 


5.2 


5.9 


6.0 


5.3 


Alabama 


3.1 


4.8 


6.8 


7.7 


5.8 


Alaska 


2.1 


5.0 


n/a 


10.0 


3.8 


Arizona 


3.6 


4.5 


6.9 


8.3 


5.9 


Arkansas 


5.7 


6.6 


8.7 


8.3 


7.5 


California 


7.3 


10.6 


13.1 


17.7 


10.8 


Colorado 


1.6 


2.2 


2.6 


4.1 


2.3 


Connecticut 


1.9 


2.3 


3.0 


3.2 


2.8 


Delaware 


1.0 


4.6 


13.8 


18.0 


10.3 


District of Columbia 


4.7 


3.3 


9.0 


4.4 


5.5 


Florida 


3.5 


6.5 


8.2 


10.2 


7.3 


Georgia 


1.2 


3.2 


4.0 


4.6 


3.6 


Hawaii 


6.4 


10.4 


7.5 


8.3 


7.8 


Idaho 


5.2 


7.0 


9.6 


n/a 


7.3 


Illinois 


3.8 


5.9 


6.1 


6.1 


5.7 


Indiana 


5.4 


7.2 


9.3 


9.3 


7.8 


Iowa 


2.6 


4.4 


6.9 


5.7 


4.7 


Kansas 


3.8 


5.5 


8.6 


2.8 


5.5 


Kentucky 


3.9 


6.1 


7.1 


11.5 


5.9 


Louisiana 


1.1 


3.8 


4.6 


4.9 


3.9 


Maine 


2.9 


3.3 


4.7 


7.5 


3.5 


Maryland 


0.8 


1.6 


3.2 


3.6 


2.4 


Massachusetts 


1.2 


3.2 


3.0 


5.9 


2.8 


Michigan 


6.3 


8.3 


10.5 


11.3 


9.4 


Minnesota 


3.9 


2.9 


4.7 


5.2 


3.8 


Mississippi 


1.8 


4.8 


5.3 


10.4 


4.4 


Missouri 


2.3 


4.3 


5.0 


6.0 


4.4 


Montana 


4.6 


4.6 


7.8 


16.0 


5.6 


Nebraska 


2.7 


2.6 


3.9 


5.0 


2.9 


Nevada 


7.2 


17.0 


20.4 


25.3 


15.3 


New Hampshire 


1.7 


2.4 


4.1 


1.4 


2.7 


New Jersey 


1.3 


1.3 


2.4 


2.7 


2.1 


New Mexico 


3.6 


3.8 


5.5 


4.0 


4.4 


New York 


1.6 


2.2 


2.3 


1.5 


1.9 


North Carolina 


1.2 


3.3 


5.7 


8.7 


4.4 


North Dakota 


5.8 


5.8 


11.4 


7.0 


7.2 


Ohio 


4.1 


4.4 


4.9 


6.2 


4.7 


Oklahoma 


2.8 


4.1 


4.5 


4.0 


4.0 


Oregon 


3.9 


4.6 


4.6 


7.0 


4.5 


Pennsylvania 


2.2 


2.9 


4.7 


4.7 


3.8 


Rhode Island 


1.1 


2.1 


4.7 


5.9 


3.4 


South Carolina 


6.6 


7.9 


8.9 


9.0 


8.0 


South Dakota 


1.8 


3.9 


5.5 


5.0 


3.7 


Tennessee 


2.2 


4.1 


4.1 


4.5 


3.9 


Texas 


1.6 


4.4 


5.1 


6.2 


4.3 


Utah 


2.4 


3.8 


6.2 


4.0 


4.1 


Vermont 


1.7 


1.6 


2.3 


n/a 


1.9 


Virginia 


1.1 


2.3 


4.8 


4.8 


3.4 


Washington 


5.7 


8.6 


9.9 


8.9 


8.6 


West Virginia 


3.2 


4.6 


9.1 


n/a 


5.9 


Wisconsin 


1.4 


3.9 


3.7 


7.2 


4.0 


Wyoming 


2.6 


3.6 


7.3 


6.0 


4.4 



Source: OSCAR 
n/a: Data unavailable 



169 



Health Deficiency Citations by 
Bed Size & State 



Table 33 (d). Mean Number of Health Deficiencies Cited in Nursing 


Home Surveys by 


Bed Size Category: 


United States, 1999 














Mean 


Number of Beds 








<50 


50-99 


100-199 


>199 


All Facilities 


ation 


3.8 


5.7 


6.6 


6.9 


5.8 


Alabama 


5.4 


5.8 


8.8 


11.0 


7.6 


Alaska 


4.5 


9.0 


n/a 


11.0 


6.0 


Arizona 


3.4 


7.2 


8.3 


6.8 


7.2 


Arkansas 


5.4 


7.9 


8.9 


3.5 


8.0 


California 


7.4 


11.5 


14.6 


17.0 


11.6 


Colorado 


1.5 


2.5 


4.0 


4.4 


2.9 


Connecticut 


2.5 


2.8 


4.5 


5.4 


4.0 


Delaware 


1.0 


4.1 


10.1 


9.0 


7.6 


District of Columbia 


1.0 


3.3 


8.8 


12.5 


7.1 


Florida 


3.3 


5.4 


7.4 


7.6 


6.5 


Georgia 


1.7 


3.9 


4.9 


8.0 


4.6 


Hawaii 


5.4 


8.0 


7.4 


8.7 


6.8 


Idaho 


5.3 


7.7 


10.1 


n/a 


7.7 


Illinois 


3.5 


6.7 


6.7 


6.5 


6.2 


Indiana 


6.2 


6.1 


8.7 


11.1 


7.4 


Iowa 


2.7 


4.4 


5.2 


5.0 


4.3 


Kansas 


3.9 


6.4 


11.2 


9.4 


6.6 


Kentucky 


4.6 


7.1 


9.4 


11.2 


7.3 


Louisiana 


1.1 


4.8 


5.2 


5.9 


4.6 


Maine 


3.9 


3.8 


2.7 


7.0 


3.7 


Maryland 


1.2 


2.8 


4.3 


5.9 


3.6 


Massachusetts 


1.7 


3.4 


5.0 


6.4 


4.0 


Michigan 


5.0 


10.0 


10.8 


11.9 


10.0 


Minnesota 


3.2 


3.3 


4.2 


4.9 


3.7 


Mississippi 


3.3 


5.5 


7.1 


11.0 


5.8 


Missouri 


4.0 


4.3 


6.8 


8.0 


5.5 


Montana 


4.5 


6.3 


5.2 


10.0 


5.3 


Nebraska 


3.3 


3.1 


4.7 


2.5 


3.5 


Nevada 


7.1 


10.4 


16.3 


12.0 


12.6 


New Hampshire 


2.2 


3.8 


4.9 


5.2 


3.9 


New Jersey 


1.3 


2.3 


3.8 


4.6 


3.4 


New Mexico 


2.2 


5.8 


5.6 


5.0 


5.1 


New York 


3.2 


3.6 


3.8 


3.5 


3.6 


North Carolina 


1.6 


4.8 


7.0 


12.1 


5.8 


North Dakota 


3.3 


5.2 


7.0 


11.5 


5.2 


Ohio 


4.0 


4.9 


5.7 


8.5 


5.4 


Oklahoma 


2.6 


4.6 


6.2 


9.4 


5.0 


Oregon 


4.3 


6.9 


7.7 


19.0 


6.9 


Pennsylvania 


2.2 


3.8 


5.1 


5.4 


4.3 


Rhode Island 


2.8 


3.2 


3.6 


2.6 


3.3 


South Carolina 


5.8 


8.3 


9.4 


10.7 


8.3 


South Dakota 


4.0 


4.2 


8.8 


n/a 


4.7 


Tennessee 


2.9 


4.7 


5.4 


7.0 


4.9 


Texas 


2.0 


4.7 


5.4 


6.7 


4.8 


Utah 


0.9 


4.5 


5.3 


n/a 


3.4 


Vermont 


2.9 


2.9 


1.2 


n/a 


2.3 


Virginia 


1.5 


2.8 


4.8 


4.4 


3.7 


Washington 


7.3 


9.2 


11.2 


12.4 


9.8 


West Virginia 


4.8 


5.5 


7.0 


8.5 


5.9 


Wisconsin 


1.7 


3.1 


3.3 


5.9 


3.4 


Wyoming 


6.1 


4.1 


7.8 


4.0 


5.9 



Source: OSCAR 
n/a: Data unavailable 



170 



Health Deficiency Citations by 
Bed Size & State 



Table 33 (e). Mean 
Bed Size Category: 



Number of Health Deficiencies Cited in Nursing Home Surveys by 
United States, 2000 







Mean Number of Beds 








<50 


50-99 


100-199 


>199 


All Facilities 


ation 


4.0 


5.9 


6.9 


7.0 


6.1 


Alabama 


4.4 


6.5 


8.7 


7.3 


7.5 


Alaska 


3.6 


5.4 


n/a 


0.0 


4.0 


Arizona 


2.4 


6.3 


9.9 


7.6 


7.9 


Arkansas 


6.9 


6.5 


8.7 


3.5 


7.6 


California 


7.7 


11.3 


14.0 


16.8 


11.5 


Colorado 


2.1 


4.2 


5.8 


5.3 


4.3 


Connecticut 


3.4 


3.4 


4.7 


5.9 


4.4 


Delaware 


2.2 


5.3 


9.3 


1.0 


7.3 


District of Columbia 


3.8 


6.7 


15.0 


9.3 


7.8 


Florida 


3.3 


5.5 


7.3 


7.6 


6.5 


Georgia 


3.2 


4.0 


5.9 


7.0 


5.1 


Hawaii 


6.4 


6.1 


9.9 


1.0 


7.2 


Idaho 


5.3 


8.6 


7.2 


n/a 


6.9 


Illinois 


3.9 


6.2 


6.5 


5.8 


6.0 


Indiana 


6.2 


6.2 


8.3 


11.3 


7.4 


Iowa 


3.2 


3.9 


5.1 


3.3 


4.1 


Kansas 


4.7 


7.7 


9.7 


9.0 


7.2 


Kentucky 


5.6 


6.8 


11.0 


13.0 


8.1 


Louisiana 


2.3 


7.1 


6.3 


8.7 


6.1 


Maine 


3.2 


4.0 


3.6 


4.5 


3.7 


Maryland 


1.1 


2.0 


3.6 


4.3 


3.0 


Massachusetts 


2.6 


3.8 


5.0 


6.8 


4.3 


Michigan 


6.4 


9.1 


10.6 


10.7 


9.7 


Minnesota 


4.3 


4.2 


6.0 


7.2 


5.0 


Mississippi 


4.8 


6.7 


9.6 


16.7 


7.9 


Missouri 


4.0 


5.1 


6.5 


7.8 


5.6 


Montana 


3.9 


5.4 


3.8 


7.0 


4.4 


Nebraska 


2.9 


3.8 


8.2 


3.0 


4.4 


Nevada 


6.0 


17.2 


12.3 


6.0 


11.3 


New Hampshire 


2.2 


4.1 


5.0 


5.0 


4.2 


New Jersey 


1.8 


1.9 


4.6 


4.8 


3.8 


New Mexico 


1.8 


5.2 


5.4 


3.0 


4.6 


New York 


3.1 


4.0 


5.0 


4.9 


4.6 


North Carolina 


2.3 


4.4 


7.3 


10.1 


5.8 


North Dakota 


5.0 


3.6 


4.2 


1.0 


4.1 


Ohio 


3.5 


4.7 


6.0 


6.7 


5.4 


Oklahoma 


3.5 


5.3 


6.8 


7.5 


5.5 


Oregon 


4.2 


5.1 


6.6 


4.5 


5.5 


Pennsylvania 


2.6 


3.5 


5.0 


5.7 


4.3 


Rhode Island 


2.1 


2.1 


2.9 


3.0 


2.5 


South Carolina 


5.2 


8.2 


9.6 


6.2 


7.9 


South Dakota 


4.0 


3.8 


5.2 


n/a 


4.0 


Tennessee 


3.7 


6.1 


6.9 


8.3 


6.3 


Texas 


2.8 


6.3 


6.9 


8.0 


6.3 


Utah 


1.2 


3.4 


4.8 


2.0 


3.2 


Vermont 


2.8 


2.9 


3.3 


n/a 


3.1 


Virginia 


1.1 


2.4 


4.4 


4.7 


3.3 


Washington 


8.1 


9.6 


9.3 


14.0 


9.3 


West Virginia 


4.0 


6.5 


7.4 


12.0 


6.3 


Wisconsin 


1.2 


2.9 


3.3 


5.1 


3.2 


Wyoming 


7.1 


6.8 


9.1 


3.0 


7.6 



Source: OSCAR 
n/a: Data unavailable 



171 



Health Deficiency Citations by 
Bed Size & State 



Table 33 (f). Mean 
Bed Size Category: 



Number of Health Deficiencies Cited in Nursing Home Surveys by 
United States, 2001 







Mean 


Number of Beds 








<50 


50-99 


100-199 


>199 


All Facilities 


ation 


4.0 


5.9 


6.9 


7.0 


6.3 


Alabama 


4.4 


6.5 


8.7 


7.3 


6.8 


Alaska 


3.6 


5.4 


n/a 


0.0 


6.5 


Arizona 


2.4 


6.3 


9.9 


7.6 


10.2 


Arkansas 


6.9 


6.5 


8.7 


3.5 


7.7 


California 


7.7 


11.3 


14.0 


16.8 


11.3 


Colorado 


2.1 


4.2 


5.8 


5.3 


5.2 


Connecticut 


3.4 


3.4 


4.7 


5.9 


5.7 


Delaware 


2.2 


5.3 


9.3 


1.0 


5.2 


District of Columbia 


3.8 


6.7 


15.0 


9.3 


9.0 


Florida 


3.3 


5.5 


7.3 


7.6 


7.9 


Georgia 


3.2 


4.0 


5.9 


7.0 


5.8 


Hawaii 


6.4 


6.1 


9.9 


1.0 


10.4 


Idaho 


5.3 


8.6 


7.2 


n/a 


6.4 


Illinois 


3.9 


6.2 


6.5 


5.8 


5.3 


Indiana 


6.2 


6.2 


8.3 


11.3 


6.2 


Iowa 


3.2 


3.9 


5.1 


3.3 


4.1 


Kansas 


4.7 


7.7 


9.7 


9.0 


7.1 


Kentucky 


5.6 


6.8 


11.0 


13.0 


8.4 


Louisiana 


2.3 


7.1 


6.3 


8.7 


7.1 


Maine 


3.2 


4.0 


3.6 


4.5 


5.0 


Maryland 


1.1 


2.0 


3.6 


4.3 


3.8 


Massachusetts 


2.6 


3.8 


5.0 


6.8 


4.5 


Michigan 


6.4 


9.1 


10.6 


10.7 


8.2 


Minnesota 


4.3 


4.2 


6.0 


7.2 


4.6 


Mississippi 


4.8 


6.7 


9.6 


16.7 


6.2 


Missouri 


4.0 


5.1 


6.5 


7.8 


5.4 


Montana 


3.9 


5.4 


3.8 


7.0 


5.3 


Nebraska 


2.9 


3.8 


8.2 


3.0 


4.5 


Nevada 


6.0 


17.2 


12.3 


6.0 


10.3 


New Hampshire 


2.2 


4.1 


5.0 


5.0 


4.6 


New Jersey 


1.8 


1.9 


4.6 


4.8 


4.7 


New Mexico 


1.8 


5.2 


5.4 


3.0 


5.4 


New York 


3.1 


4.0 


5.0 


4.9 


5.6 


North Carolina 


2.3 


4.4 


7.3 


10.1 


6.2 


North Dakota 


5.0 


3.6 


4.2 


1.0 


3.9 


Ohio 


3.5 


4.7 


6.0 


6.7 


5.0 


Oklahoma 


3.5 


5.3 


6.8 


7.5 


6.7 


Oregon 


4.2 


5.1 


6.6 


4.5 


6.1 


Pennsylvania 


2.6 


3.5 


5.0 


5.7 


4.3 


Rhode Island 


2.1 


2.1 


2.9 


3.0 


3.5 


South Carolina 


5.2 


8.2 


9.6 


6.2 


5.9 


South Dakota 


4.0 


3.8 


5.2 


n/a 


5.4 


Tennessee 


3.7 


6.1 


6.9 


8.3 


6.3 


Texas 


2.8 


6.3 


6.9 


8.0 


6.5 


Utah 


1.2 


3.4 


4.8 


2.0 


3.8 


Vermont 


2.8 


2.9 


3.3 


n/a 


3.2 


Virginia 


1.1 


2.4 


4.4 


4.7 


3.4 


Washington 


8.1 


9.6 


9.3 


14.0 


8.9 


West Virginia 


4.0 


6.5 


7.4 


12.0 


8.0 


Wisconsin 


1.2 


2.9 


3.3 


5.1 


3.6 


Wyoming 


7.1 


6.8 


9.1 


3.0 


9.3 



Source: OSCAR 
n/a: Data unavailable 



172 



Health Deficiency Citations by 
Bed Size & State 



I 
I 

! 
I 



Table 34 (a). Mean Number of Health 
by Type of Ownership: United States, 



Deficiencies Cited in Nursing Home Surveys 
1996 



Percent by Ownership 



For- Profit 



Non-Profit 



Government 



All Facilities 



Nation 

Alabama 

Alaska 

Arizona 

Arkansas 

California 



5.7 

6.5 
0.0 
6.5 
8.5 
11.4 



4.0 

5.7 
1.9 
4.5 
7.4 
8.5 



4.4 

6.0 
2.7 
5.8 
7.1 
11.0 



5.1 

6.3 

2.1 

5.7 

8.3 

10.8 



Colorado 

Connecticut 

Delaware 

District of Columbia 

Florida 



2.8 

1.7 
8.7 
9.8 
6.6 



1.5 
1.0 
9.4 
4.5 
4.9 



2.2 
1.5 
15.0 
1.0 
5.9 



2.4 
1.5 
9.5 
6.0 
6.2 



Georgia 

Hawaii 

Idaho 

Illinois 

Indiana 



3.6 

4.4 
6.7 
6.7 
7.0 



4.1 
4.7 
4.1 
5.4 
5.1 



1.4 
5.1 
5.9 
5.2 

4.7 



3.5 
4.7 
6.1 
6.2 
6.5 
4.0 
7.0 
2.1 
4.7 
2.3 
2.5 
3.2 
9.8 
2.9 
4.7 



Iowa 

Kansas 

Kentucky 

Louisiana 

Maine 



4.4 
7.8 
2.6 
4.8 
2.5 



3.5 
6.2 
1.1 

4.8 
1.7 



3.9 
5.3 
2.0 
3.3 
2.0 



Maryland 

Massachusetts 

Michigan 

Minnesota 

Mississippi 



2.7 
3.5 
10.7 
3.5 
5.3 



2.3 
2.2 
9.2 
2.6 
2.9 



3.1 
3.4 
6.0 
2.7 
3.9 



Missouri 

Montana 

Nebraska 

Nevada 

New Hampshire 



4.6 
6.9 
3.7 
14.4 
5.8 



3.4 
4.8 
3.3 
8.3 

2.1 



3.7 
4.9 
3.8 
12.8 
2.7 



4.2 
5.7 
3.6 
13.3 
4.1 



New Jersey 
New Mexico 
New York 
North Carolina 
North Dakota 



2.9 
2.6 

2.6 
4.8 
6.5 



1.8 

1.3 
3.0 
2.5 
6.5 



2.8 

0.8 
3.9 
2.2 
9.0 



2.6 
2.0 
2.9 
4.2 
6.5 



Ohio 

Oklahoma 
Oregon 
Pennsylvania 
Rhode Island 



5.1 
4.2 
5.7 
3.8 
3.5 



3.9 

2.3 
3.9 
2.5 

1.9 



5.0 
3.4 
1.0 
4.0 
n/a 



4.8 
3.9 
5.1 
3.1 
3.1 
7.1 
4.2 
5.9 
4.2 
4.0 
2.3 
3.7 
7.6 
4.8 
3.3 
3.1 



South Carolina 
South Dakota 
Tennessee 
Texas 
Utah 



7.5 
5.1 
6.1 
4.6 
4.2 



6.1 
3.9 
5.4 
2.3 
3.3 



6.2 
2.4 
5.4 
1.8 
3.0 



Vermont 

Virginia 

Washington 

West Virginia 

Wisconsin 

Wyoming 



2.3 

4.3 
8.2 
5.2 
3.4 
3.2 



1.4 
2.3 
6.2 
4.0 
3.4 
3.0 



6.0 
5.3 
6.3 
3.5 
2.7 
3.0 



Source: OSCAR 
n/a: Data unavailable 



173 



Health Deficiencies Cited by 
Type of Ownership 



Table 34 (b). Mean Number of Health 
by Type of Ownership: United States, 



Deficiencies Cited in Nursing Home Surveys 
1997 



Mean Number by Ownership Type 



For- Profit 



Non-Profit 



Government 



Nation 

Alabama 

Alaska 

Arizona 

Arkansas 

California 



Colorado 

Connecticut 

Delaware 

District of Columbia 

Florida 



Georgia 

Hawaii 

Idaho 

Illinois 

Indiana 



Iowa 

Kansas 

Kentucky 

Louisiana 

Maine 



Maryland 

Massachusetts 

Michigan 

Minnesota 

Mississippi 



Missouri 

Montana 

Nebraska 

Nevada 

New Hampshire 



New Jersey 
New Mexico 
New York 
North Carolina 
North Dakota 



Ohio 

Oklahoma 
Oregon 
Pennsylvania 
Rhode Island 



South Carolina 
South Dakota 
Tennessee 
Texas 
Utah 



Vermont 

Virginia 

Washington 

West Virginia 

Wisconsin 

Wyoming 



Source: OSCAR 
n/a: Data unavailable 



5.5 

6.4 
4.0 
5.4 
7.7 
11.6 



2.8 
2.1 

6.7 
4.7 
7.2 



2.9 
6.1 
6.6 
6.6 
7.3 



5.2 
7.6 
3.5 

4.7 
2.7 



2.5 
2.9 
9.3 
3.3 

4.1 



4.1 
3.7 
2.8 
16.0 
4.2 



2.7 
2.2 
2.2 
4.2 
10.1 



4.4 
4.6 
4.7 
4.1 
3.7 



8.0 
2.8 
2.6 
4.6 
3.4 



2.0 

4.0 
9.2 
6.9 
4.0 
5.5 



3.7 

4.6 
5.1 
4.5 
6.0 
8.2 



1.4 
1.3 

7.2 
4.5 

4.2 



2.3 
4.9 
4.0 
4.9 
4.9 



4.4 
5.5 
2.4 
3.7 
2.6 



2.0 

1.9 
7.7 
2.6 
3.5 



2.6 
3.3 
2.3 
10.3 
3.2 



1.8 
2.1 
2.1 
1.7 
7.7 
3.3 
2.8 
4.5 
2.5 
1.6 



7.6 
3.5 
2.3 
2.9 
2.5 



1.7 

1.6 
6.5 
4.6 
3.8 
6.2 



4.2 

6.1 
1.4 

12.0 
6.1 

10.8 



2.0 

6.5 
7.8 
8.0 
4.6 



1.6 

10.2 

8.3 

5.7 

7.1 



2.7 
4.1 
3.0 
1.6 
2.0 



0.7 
1.1 

6.9 
2.5 
2.8 



2.2 
3.3 
2.7 
13.8 
3.3 



2.2 
0.1 
3.1 
1.8 
3.5 



3.7 
3.4 
5.6 
3.4 
n/a 



3.3 

2.9 
1.9 
4.3 



n/a 
7.5 
6.6 
5.9 
3.0 
6.9 



All Facilities 



4.9 

6.1 
3.4 
5.1 
7.4 
10.8 



2.3 
2.0 
7.0 
5.0 
6.5 



2.7 
6.6 
6.6 
6.0 



4.7 
6.5 
3.1 
4.3 
2.6 



2.2 
2.6 
8.6 
2.8 
3.8 



3.6 
3.4 
2.6 
15.2 
3.8 



2.4 
2.0 
2.2 
3.6 
7.9 



4.1 
4.3 
4.7 
3.2 
3.2 
7.8 
3.2 
2.5 
4.3 
3.4 
1.9 
3.3 
8.4 
6.1 
3.7 
6.2 



174 



Health Deficiencies Cited by 
Type of Ownership 



Table 34 (c). Mean Number of Health 
by Type of Ownership: United States, 



Deficiencies Cited in Nursing Home Surveys 
1998 







Mean Number by Ownership Type 






For-Profit 


Non-Profit 


Government 


All Facilities 


Nation 


5.9 


4.0 


4.2 


5.3 


Alabama 


6.0 


5.3 


5.1 


5.8 


Alaska 


0.0 


5.1 


2.0 


3.8 


Arizona 


6.5 


4.8 


6.7 


5.9 


Arkansas 


7.9 


6.5 


5.1 


7.5 


California 


11.6 


8.1 


10.9 


10.8 


Colorado 


2.9 


1.0 


2.1 


2.3 


Connecticut 


2.9 


2.2 


3.0 


2.8 


Delaware 


13.5 


7.5 


10.3 


10.3 


District of Columbia 


7.0 


5.0 


5.5 


5.5 


Florida 


7.8 


5.4 


6.8 


7.3 


Georgia 


3.8 


3.2 


1.8 


3.6 


Hawaii 


9.1 


6.9 


6.8 


7.8 


Idaho 


8.0 


5.0 


7.1 


7.3 


Illinois 


6.3 


4.7 


5.0 


5.7 


Indiana 


8.5 


5.7 


4.9 


7.8 


Iowa 


5.2 


4.1 


3.2 


4.7 


Kansas 


7.1 


3.7 


3.7 


5.5 


Kentucky 


6.1 


5.3 


10.4 


5.9 


Louisiana 


4.4 


3.3 


1.4 


3.9 


Maine 


3.5 


3.3 


3.2 


3.5 


Maryland 


2.8 


2.0 


0.3 


2.4 


Massachusetts 


3.0 


2.4 


1.3 


2.8 


Michigan 


10.4 


7.9 


7.5 


9.4 


Minnesota 


4.1 


3.7 


3.1 


3.8 


Mississippi 


4.9 


3.1 


3.8 


4.4 


Missouri 


5.2 


2.8 


3.4 


4.4 


Montana 


7.9 


4.3 


4.8 


5.6 


Nebraska 


3.1 


2.4 


3.2 


2.9 


Nevada 


16.4 


6.0 


13.1 


15.3 


New Hampshire 


3.2 


1.8 


2.8 


2.7 


New Jersey 


2.6 


1.3 


1.7 


2.1 


New Mexico 


4.8 


3.4 


5.4 


4.4 


New York 


1.9 


1.9 


2.3 


1.9 


North Carolina 


5.2 


2.3 


1.7 


4.4 


North Dakota 


6.5 


7.3 


7.0 


7.2 


Ohio 


5.0 


4.0 


3.3 


4.7 


Oklahoma 


4.3 


2.9 


1.9 


4.0 


Oregon 


4.8 


3.5 


3.4 


4.5 


Pennsylvania 


4.7 


3.0 


4.7 


3.8 


Rhode Island 


3.9 


1.3 


n/a 


3.4 


South Carolina 


8.2 


8.1 


7.2 


8.0 


South Dakota 


3.3 


4.1 


3.2 


3.7 


Tennessee 


4.0 


3.2 


4.6 


3.9 


Texas 


4.7 


3.1 


1.8 


4.3 


Utah 


4.5 


2.8 


1.3 


4.1 


Vermont 


1.8 


2.3 


0.0 


1.9 


Virginia 


4.1 


2.1 


5.0 


3.4 


Washington 


9.6 


6.5 


5.7 


8.6 


West Virginia 


6.5 


4.6 


5.3 


5.9 


Wisconsin 


5.0 


3.2 


2.7 


4.0 


Wyoming 


5.1 


5.0 


3.4 


4.4 


Source: OSCAR 










n/a: Data unavailable 




175 




Health Deficiencies Cited by 
Type of Ownership 



Table 34 (d). Mean Number of Health 
by Type of Ownership: United States, 



Deficiencies Cited in Nursing Home Surveys 
1999 



Mean Number by Ownership Type 



For-Profit 



Non-Profit 



Government 



All Facilities 



Nation 

Alabama 

Alaska 

Arizona 

Arkansas 

California 



6.6 

7.7 

12.0 

8.0 

8.7 

12.6 



4.3 

6.3 
6.2 
5.6 
5.9 
8.3 



4.6 

8.1 
4.4 
6.0 
3.7 
10.7 



5.8 

7.6 
6.0 
7.2 
8.0 
11.6 



Colorado 

Connecticut 

Delaware 

District of Columbia 

Florida 



3.4 
4.2 
8.8 
6.5 
6.9 



1.9 
3.3 
6.3 
5.5 
5.3 



2.2 
2.5 
7.7 
25.0 
3.4 



2.9 
4.0 
7.6 
7.1 
6.5 



Georgia 

Hawaii 

Idaho 

Illinois 

Indiana 



4.7 
6.4 
8.5 
7.1 
8.2 



4.6 
7.7 
5.1 
4.4 
5.3 



3.6 

6.7 
7.4 
5.4 
4.5 



4.6 
6.8 
7.7 
6.2 
7.4 



Iowa 

Kansas 

Kentucky 

Louisiana 

Maine 



5.1 
8.7 
8.1 
5.0 
3.7 



3.5 
5.0 
5.7 
3.1 
3.6 



2.9 
2.7 
8.3 

4.1 
4.7 



4.3 
6.6 
7.3 
4.6 
3.7 



Maryland 

Massachusetts 

Michigan 

Minnesota 

Mississippi 



4.7 
4.7 
11.1 
3.7 
6.2 



2.3 
2.4 
8.5 
3.8 
5.6 



3.2 

1.1 
6.6 
2.9 



3.6 
4.0 
10.0 
3.7 
5.8 



Missouri 

Montana 

Nebraska 

Nevada 

New Hampshire 



6.1 
6.0 
3.5 
14.0 
5.1 



4.5 
4.9 
3.4 
3.4 
2.0 



3.6 
4.8 
3.5 
18.8 
4.1 



5.5 
5.3 
3.5 
12.6 
3.9 



New Jersey 
New Mexico 
New York 
North Carolina 
North Dakota 



4.0 
5.7 
3.5 
6.6 
6.3 



2.3 
4.1 
3.5 
3.8 

5.1 



3.2 
4.2 
5.0 
3.2 
4.3 



3.4 
5.1 
3.6 
5.8 
5.2 



Ohio 

Oklahoma 
Oregon 
Pennsylvania 
Rhode Island 



5.8 
5.3 
7.2 
5.2 
3.9 



4.4 
4.1 
5.9 
3.5 
1.7 



5.3 
3.3 
5.3 
5.2 
n/a 



5.4 
5.0 
6.9 
4.3 
3.3 
8.3 
4.7 
4.9 
4.8 
3.4 
2.3 
3.7 
9.8 
5.9 
3.4 
5.9 



South Carolina 
South Dakota 
Tennessee 
Texas 
Utah 



8.9 

4.8 
5.1 
5.1 
3.9 



6.3 

4.7 
4.2 
3.4 
2.1 



6.6 

3.5 
5.7 
2.0 
1.5 



Vermont 

Virginia 

Washington 

West Virginia 

Wisconsin 

Wyoming 



1.9 
4.3 
10.8 
6.3 
4.2 
5.3 



2.2 
2.4 
7.3 
5.4 
2.8 
3.0 



7.5 
3.0 
7.6 
4.5 
2.3 
7.2 



Source: OSCAR 
n/a: Data unavailable 



176 



Health Deficiencies Cited by 
Type of Ownership 



Table 34 (e). Mean Number of Health 
by Type of Ownership: United States, 



Deficiencies Cited in Nursing Home Surveys 
2000 



Mean Number by Ownership Type 



For-Profit 



Non-Profit 



Government 



Nation 

Alabama 

Alaska 

Arizona 

Arkansas 

California 



Colorado 

Connecticut 

Delaware 

District of Columbia 

Florida 



Georgia 

Hawaii 

Idaho 

Illinois 

Indiana 



Iowa 

Kansas 

Kentucky 

Louisiana 

Maine 



Maryland 

Massachusetts 

Michigan 

Minnesota 

Mississippi 



Missouri 

Montana 

Nebraska 

Nevada 

New Hampshire 



New Jersey 
New Mexico 
New York 
North Carolina 
North Dakota 



Ohio 

Oklahoma 
Oregon 
Pennsylvania 
Rhode Island 



South Carolina 
South Dakota 
Tennessee 
Texas 
Utah 



Vermont 

Virginia 

Washington 

West Virginia 

Wisconsin 

Wyoming 



Source: OSCAR 
n/a: Data unavailable 



7.0 

7.7 
n/a 
9.6 
8.2 
12.5 



5.6 
4.8 
9.2 
12.0 
6.9 



5.4 
6.0 
7.1 
6.7 
8.1 



4.1 
9.9 
9.0 
6.8 
3.7 



3.5 
5.2 
10.7 
5.5 
8.3 



6.4 
5.8 
5.4 
14.0 
4.9 



5.3 
5.6 
4.8 
6.6 
3.2 



5.9 

7.3 
6.1 
5.3 
3.0 



8.6 
4.0 
6.3 
6.9 
3.7 



2.8 
4.2 
10.4 
7.4 
3.8 
8.7 



4.8 

6.9 
4.1 
5.4 
7.2 
9.2 



3.6 
3.5 

6.1 
6.5 
5.1 



4.7 
8.2 
6.3 
4.4 
5.6 



3.7 
5.3 
6.4 
4.8 
3.6 



2.4 
2.7 
8.9 
5.1 
6.1 



5.2 
4.4 
4.2 
3.3 
3.9 



3.0 
3.1 
4.6 
3.9 

4.4 



4.5 
4.2 
3.7 
1.6 



5.8 
4.2 
5.9 
5.6 
2.1 



3.8 

1.9 
6.8 
5.9 
2.4 
9.5 



5.1 

7.5 
3.8 
6.8 
5.4 
10.3 



1.7 
4.0 
3.6 
3.5 
5.4 



5.7 
7.4 
6.3 
5.7 
4.1 



3.9 

4.1 
9.4 
1.2 
4.5 



3.6 
3.3 
5.5 
4.0 
6.9 



6.2 
4.0 
3.4 
11.0 
4.1 



5.1 
3.4 
5.4 
3.0 
8.7 



5.2 
4.9 
4.3 
5.8 
n/a 



6.7 
3.3 

6.7 
2.4 
2.3 



3.0 
1.1 

8.1 
6.1 
2.8 
4.8 



All Facilities 



6.3 

7.6 
4.0 
8.2 
7.9 
11.8 



4.7 
4.5 
7.2 
7.8 
6.5 



5.3 
7.1 
6.8 
6.0 
7.4 
3.9 
7.5 
8.1 
6.2 
3.7 
3.1 
4.4 
9.8 
5.1 
7.8 



6.1 
4.8 
4.5 
11.8 
4.4 



4.5 
4.7 
4.8 
5.8 
4.3 



5.6 

6.8 
5.7 
4.5 
2.7 
8.0 
4.0 
6.2 
6.6 
3.4 



3.1 
3.4 
9.4 
6.9 
3.1 
7.5 



177 



Health Deficiencies Cited by 
Type of Ownership 



Table 34 (f). Mean Number of Health 
by Type of Ownership: United States, 



Deficiencies Cited in Nursing Home Surveys 
2001 



Mean Number by Ownership Type 



For-Profit 



Non-Profit 



Government 



All Facilities 



Nation 

Alabama 

Alaska 

Arizona 

Arkansas 

California 



7.1 

7.2 
2.5 

11.4 
7.9 

12.0 



4.7 

5.6 
8.0 
7.5 
6.7 
8.2 



4.9 

5.0 
5.0 
6.5 
8.3 
12.0 



6.3 

6.8 
6.5 

10.2 
7.7 

11.3 



Colorado 

Connecticut 

Delaware 

District of Columbia 

Florida 



5.9 
6.1 
6.1 
9.7 
8.5 



3.7 
4.5 
4.2 
9.7 
5.9 



4.2 
6.0 
5.3 
2.0 
7.0 



5.2 
5.7 
5.2 
9.0 
7.9 



Georgia 

Hawaii 

Idaho 

Illinois 

Indiana 



6.0 
13.7 
6.4 
6.1 
6.9 



5.0 
7.5 
4.8 
3.6 
5.0 



5.4 

8.2 
7.4 
4.5 
2.6 



5.8 
10.4 
6.4 
5.3 
6.2 



Iowa 

Kansas 

Kentucky 

Louisiana 

Maine 



9.1 
7.2 



3.8 

4.7 
7.1 
8.0 
5.4 



4.0 
4.4 
5.9 
4.5 
5.7 



4.1 
7.1 
8.4 
7.1 
5.0 



Maryland 

Massachusetts 

Michigan 

Minnesota 

Mississippi 



4.7 
5.0 
9.3 
5.5 
6.5 



2.8 
3.5 

7.0 
4.4 
5.4 



2.2 
1.8 
5.0 
3.6 
5.5 



3.8 

4.5 
8.2 
4.6 
6.2 



Missouri 

Montana 

Nebraska 

Nevada 

New Hampshire 



5.9 

4.7 

5.2 

11.2 

4.6 



4.5 
5.4 
4.1 
7.1 
4.8 



4.6 
6.1 
3.4 
8.4 
4.2 



5.4 
5.3 
4.5 
10.3 
4.6 



New Jersey 
New Mexico 
New York 
North Carolina 
North Dakota 



5.4 
6.7 
5.8 
7.0 
5.0 



3.5 
3.1 
5.5 
4.3 
3.8 



3.8 
2.6 
5.5 
3.5 
3.5 



4.7 
5.4 
5.6 
6.2 
3.9 



Ohio 

Oklahoma 
Oregon 
Pennsylvania 
Rhode Island 



5.5 
7.3 
7.1 
5.3 
3.6 



3.9 
3.0 
3.8 
3.4 
3.0 



3.8 
4.8 
3.3 
4.3 
n/a 



5.0 
6.7 
6.1 
4.3 
3.5 
5.9 
5.4 
6.3 
6.5 
3.8 
3.2 
3.4 
8.9 
8.0 
3.6 
9.3 



South Carolina 
South Dakota 
Tennessee 
Texas 
Utah 



6.2 
3.9 
6.5 
7.0 
4.0 



4.8 

6.2 
5.6 
4.4 
3.1 



5.2 
5.5 
6.2 
3.0 
0.0 



Vermont 

Virginia 

Washington 

West Virginia 

Wisconsin 

Wyoming 



3.9 
3.9 

10.1 
9.3 
4.2 

12.4 



1.8 
2.5 
6.3 
5.6 
3.3 
9.0 



0.0 
2.3 
6.4 
5.1 
2.3 
7.1 



Source: OSCAR 
n/a: Data unavailable 



178 



Health Deficiencies Cited by 
Type of Ownership 



I 
I 



Table 35 (a). Percent of Nursing Home 
Citations by Bed Size Category: United 



Surveys Resulting in Zero Health Deficiency 
States, 1996 







Percent by Number of Beds 








<50 


50-99 


100-199 


>199 


All Facilities 


Nation 


31.3 


20.9 


17.4 


16.0 


20.9 


Alabama 


5.9 


17.1 


6.5 


0.0 


10.2 


Alaska 


38.5 


0.0 


n/a 


100.0 


35.3 


Arizona 


13.3 


5.9 


0.0 


0.0 


4.1 


Arkansas 


9.1 


2.5 


1.4 


0.0 


2.6 


California 


7.0 


3.4 


1.6 


1.6 


3.7 


Colorado 


51.8 


47.1 


22.2 


0.0 


37.3 


Connecticut 


55.6 


59.7 


43.4 


28.0 


47.3 


Delaware 


20.0 


0.0 


0.0 


n/a 


2.7 


District of Columbia 


0.0 


0.0 


0.0 


20.0 


5.0 


Florida 


28.9 


19.7 


11.1 


9.1 


15.0 


Georgia 


60.0 


36.0 


24.2 


21.9 


30.7 


Hawaii 


0.0 


0.0 


9.1 


0.0 


2.4 


Idaho 


24.2 


4.0 


13.0 


0.0 


14.6 


Illinois 


15.9 


7.6 


8.1 


4.5 


8.3 


Indiana 


22.8 


11.6 


5.9 


9.3 


11.7 


Iowa 


33.3 


26.7 


17.4 


18.2 


25.5 


Kansas 


9.2 


7.9 


10.3 


0.0 


8.6 


Kentucky 


69.4 


56.1 


54.5 


28.6 


58.5 


Louisiana 


44.8 


18.1 


15.5 


19.0 


20.7 


Maine 


59.0 


27.3 


10.7 


0.0 


32.4 


Maryland 


53.8 


34.7 


32.4 


22.6 


35.2 


Massachusetts 


50.0 


39.6 


31.2 


9.5 


36.7 


Michigan 


11.1 


3.7 


1.3 


0.0 


2.9 


Minnesota 


25.0 


30.9 


19.7 


15.4 


25.4 


Mississippi 


40.5 


25.6 


17.3 


20.0 


25.5 


Missouri 


27.6 


29.6 


25.9 


17.9 


27.2 


Montana 


16.7 


9.1 


14.3 


0.0 


13.3 


Nebraska 


33.9 


31.9 


25.5 


0.0 


30.4 


Nevada 


5.0 


0.0 


0.0 


0.0 


2.1 


New Hampshire 


33.3 


23.1 


41.9 


14.3 


30.4 


New Jersey 


31.4 


51.7 


40.3 


28.4 


39.1 


New Mexico 


78.9 


48.3 


16.2 


100.0 


42.5 


New York 


48.9 


22.2 


27.5 


31.7 


29.5 


North Carolina 


47.8 


23.4 


15.4 


8.3 


21.9 


North Dakota 


4.3 


7.7 


8.3 


0.0 


6.8 


Ohio 


22.8 


21.1 


13.5 


11.1 


16.9 


Oklahoma 


38.2 


21.4 


29.8 


14.3 


26.9 


Oregon 


40.5 


21.1 


20.3 


0.0 


25.0 


Pennsylvania 


50.6 


34.1 


19.7 


16.3 


28.5 


Rhode Island 


26.3 


21.9 


24.4 


33.3 


24.5 


South Carolina 


15.0 


4.6 


1.5 


16.7 


6.2 


South Dakota 


25.9 


18.2 


6.7 


0.0 


18.3 


Tennessee 


17.3 


16.3 


8.6 


4.8 


11.9 


Texas 


48.0 


21.2 


17.7 


19.6 


24.3 


Utah 


25.9 


14.7 


10.0 


50.0 


17.2 


Vermont 


7.1 


45.5 


22.2 


n/a 


23.3 


Virginia 


57.5 


45.3 


30.4 


23.8 


38.6 


Washington 


23.3 


5.5 


9.7 


10.0 


10.1 


West Virginia 


17.4 


17.0 


10.3 


0.0 


14.7 


Wisconsin 


35.7 


27.3 


21.3 


16.1 


24.6 


Wyoming 


50.0 


36.8 


9.1 


0.0 


30.8 



Source: OSCAR 
n/a: Data unavailable 



179 



Health Surveys Zero Citations 



Table 35 (b). Percent of Nursing Home 
Citations by Bed Size Category: United 



Surveys Resulting in Zero Health Deficiency 
States, 1997 







Percent by N 


umber of Beds 








<50 


50-99 


100-199 


>199 


All Facilities 


Nation 


33.1 


21.5 


18.5 


17.8 


22.0 


Alabama 


9.1 


11.5 


3.9 


0.0 


7.0 


Alaska 


30.8 


0.0 


n/a 


0.0 


25.0 


Arizona 


4.8 


7.7 


6.5 


0.0 


5.9 


Arkansas 


5.7 


4.0 


4.3 


0.0 


4.3 


California 


6.5 


? ? 


2.0 


0.0 


3.1 


Colorado 


54.7 


41.3 


34.9 


14.3 


41.8 


Connecticut 


68.8 


48.8 


28.5 


22.2 


36.2 


Delaware 


40.0 


33.3 


3.7 


0.0 


15.6 


District of Columbia 


20.0 


16.7 


0.0 


12.5 


11.5 


Florida 


30.4 


11.7 


7.8 


0.0 


11.4 


Georgia 


52.2 


44.6 


26.9 


20.0 


33.6 


Hawaii 


7.1 


14.3 


0.0 


25.0 


9.5 


Idaho 


18.8 


4.0 


14.8 


n/a 


13.1 


Illinois 


16.1 


6.0 


7.6 


2.6 


7.3 


Indiana 


16.4 


8.3 


6.8 


10.5 


9.8 


Iowa 


38.9 


17.5 


7.4 


11.1 


18.4 


Kansas 


18.3 


8.4 


6.7 


0.0 


10.3 


Kentucky 


62.1 


50.0 


43.3 


0.0 


49.8 


Louisiana 


56.9 


15.4 


17.7 


16.7 


23.1 


Maine 


47.7 


26.5 


23.8 


0.0 


32.4 


Maryland 


50.0 


53.5 


31.4 


29.0 


38.5 


Massachusetts 


65.5 


51.3 


40.1 


38.1 


48.0 


Michigan 


0.0 


1.6 


4.0 


5.7 


3.0 


Minnesota 


31.9 


39.0 


16.7 


11.1 


28.6 


Mississippi 


45.7 


27.5 


21.3 


0.0 


28.6 


Missouri 


35.2 


33.3 


26.3 


0.0 


30.1 


Montana 


23.8 


28.6 


12.0 


50.0 


23.1 


Nebraska 


51.7 


42.0 


33.3 


60.0 


43.0 


Nevada 


0.0 


0.0 


0.0 


0.0 


0.0 


New Hampshire 


33.3 


29.3 


30.3 


40.0 


30.8 


New Jersey 


41.9 


53.2 


43.9 


28.3 


42.2 


New Mexico 


56.3 


48.4 


42.9 


100.0 


49.4 


New York 


29.5 


32.7 


28.3 


45.0 


34.8 


North Carolina 


58.3 


41.3 


25.9 


8.3 


34.9 


North Dakota 


5.0 


3.0 


4.8 


0.0 


3.9 


Ohio 


30.9 


24.1 


19.3 


12.0 


21.9 


Oklahoma 


38.7 


19.0 


26.4 


14.3 


24.8 


Oregon 


33.3 


24.2 


27.8 


50.0 


27.7 


Pennsylvania 


42.5 


28.1 


17.5 


20.7 


25.5 


Rhode Island 


25.0 


29.4 


21.6 


16.7 


24.7 


South Carolina 


7.7 


4.7 


5.7 


16.7 


6.1 


South Dakota 


18.2 


25.7 


0.0 


0.0 


21.0 


Tennessee 


32.1 


38.1 


29.8 


0.0 


31.0 


Texas 


50.2 


21.1 


17.2 


9.8 


23.9 


Utah 


50.0 


11.8 


12.5 


50.0 


24.0 


Vermont 


30.0 


46.2 


31.3 


n/a 


35.9 


Virginia 


66.7 


42.0 


24.8 


30.0 


37.0 


Washington 


14.3 


4.2 


3.4 


0.0 


5.4 


West Virginia 


10.0 


8.1 


11.1 


0.0 


9.2 


Wisconsin 


56.8 


19.0 


17.7 


8.0 


21.1 


Wyoming 


11.1 


0.0 


0.0 


0.0 


2.7 



Source: OSCAR 
n/a: Data unavailable 



180 



Health Surveys Zero Citations 



I 

I 

I 

I 



Table 35 (c.) Percent 
Citations by Bed Size 



of Nursing Home 
Category: United 



Surveys Resulting in Zero Health Deficiency 
States, 1998 







Percent by Number of Beds 








<50 


50-99 


100-199 


>199 


All Facilities 


Nation 


28.2 


18.4 


16.2 


17.3 


19.1 


Alabama 


21.4 


10.5 


6.8 


0.0 


8.8 


Alaska 


30.0 


0.0 


n/a 


0.0 


18.8 


Arizona 


11.1 


7.7 


6.3 


0.0 


6.8 


Arkansas 


3.3 


9.7 


1.6 


0.0 


4.9 


California 


3.2 


1.7 


1.0 


0.0 


1.8 


Colorado 


47.3 


38.2 


27.4 


11.1 


35.3 


Connecticut 


46.7 


27.1 


17.5 


22.7 


22.5 


Delaware 


66.7 


0.0 


0.0 


0.0 


7.1 


District of Columbia 


0.0 


0.0 


0.0 


0.0 


0.0 


Florida 


23.8 


9.1 


8.8 


0.0 


10.5 


Georgia 


39.4 


26.0 


20.6 


15.4 


23.6 


Hawaii 


5.9 


0.0 


0.0 


0.0 


2.3 


Idaho 


10.7 


3.8 


3.3 


n/a 


6.0 


Illinois 


19.7 


6.1 


7.4 


8.6 


8.8 


Indiana 


8.7 


10.7 


4.8 


3.6 


7.3 


Iowa 


28.8 


16.4 


4.7 


0.0 


15.5 


Kansas 


27.0 


15.6 


16.0 


25.0 


18.8 


Kentucky 


27.6 


10.7 


9.5 


0.0 


14.7 


Louisiana 


56.4 


23.1 


23.2 


28.0 


28.3 


Maine 


23.4 


10.8 


0.0 


0.0 


13.5 


Maryland 


54.8 


50.0 


30.9 


22.2 


38.5 


Massachusetts 


63.4 


45.2 


36.7 


19.0 


43.5 


Michigan 


8.9 


4.8 


0.5 


3.1 


3.0 


Minnesota 


19.0 


30.9 


17.9 


8.0 


23.6 


Mississippi 


32.7 


16.0 


9.3 


20.0 


17.6 


Missouri 


30.6 


24.3 


19.5 


18.5 


23.0 


Montana 


15.8 


12.9 


4.3 


0.0 


11.7 


Nebraska 


25.0 


40.5 


28.6 


25.0 


34.2 


Nevada 


5.6 


0.0 


11.1 


0.0 


6.3 


New Hampshire 


52.9 


38.2 


29.6 


60.0 


39.8 


New Jersey 


42.2 


60.7 


45.4 


35.2 


46.1 


New Mexico 


28.6 


21.4 


17.2 


50.0 


21.9 


New York 


39.0 


35.7 


32.2 


49.8 


39.5 


North Carolina 


56.6 


33.1 


17.5 


0.0 


27.5 


North Dakota 


14.8 


10.0 


4.3 


0.0 


9.8 


Ohio 


26.6 


24.0 


23.1 


9.7 


22.9 


Oklahoma 


37.9 


23.7 


25.7 


20.0 


26.4 


Oregon 


34.3 


20.3 


20.8 


0.0 


23.3 


Pennsylvania 


36.0 


21.2 


14.1 


8.2 


19.5 


Rhode Island 


50.0 


33.3 


7.0 


25.0 


24.2 


South Carolina 


2.8 


6.5 


3.0 


20.0 


4.7 


South Dakota 


15.8 


10.5 


7.7 


0.0 


11.1 


Tennessee 


25.4 


25.8 


17.6 


16.7 


21.0 


Texas 


42.7 


17.0 


16.6 


6.4 


20.7 


Utah 


40.6 


17.2 


9.7 


0.0 


22.3 


Vermont 


40.0 


21.4 


42.9 


n/a 


34.2 


Virginia 


60.0 


35.9 


22.7 


26.7 


32.8 


Washington 


7.7 


4.4 


4.6 


0.0 


4.9 


West Virginia 


5.6 


8.8 


6.9 


n/a 


7.4 


Wisconsin 


42.5 


22.4 


19.9 


5.7 


21.3 


Wyoming 


30.8 


17.6 


0.0 


0.0 


16.3 



Source: OSCAR 
n/a: Data unavailable 



181 



Health Surveys Zero Citations 



Table 35 (d). Percent of Nursing Home 
Citations by Bed Size Category: United 



Surveys Resulting in Zero Health Deficiency 
States, 1999 







Percent by Number of Beds 








<50 


50-99 


100-199 


>199 


All Facilities 


Nation 


26.6 


15.9 


12.7 


13.4 


16.1 


Alabama 


12.5 


12.0 


4.0 


0.0 


7.4 


Alaska 


9.1 


0.0 


n/a 


0.0 


6.3 


Arizona 


15.4 


10.0 


6.3 


0.0 


8.0 


Arkansas 


6.5 


7.1 


3.3 


25.0 


5.4 


California 


7.7 


1.8 


1.4 


1.9 


3.0 


Colorado 


49.1 


27.1 


14.3 


0.0 


26.4 


Connecticut 


38.5 


21.3 


7.9 


4.0 


13.1 


Delaware 


66.7 


20.0 


0.0 


0.0 


11.4 


District of Columbia 


0.0 


16.7 


0.0 


0.0 


6.7 


Florida 


25.5 


17.6 


7.0 


13.5 


11.8 


Georgia 


43.3 


19.5 


16.1 


4.0 


18.6 


Hawaii 


0.0 


0.0 


8.3 


33.3 


4.7 


Idaho 


17.2 


11.5 


0.0 


n/a 


9.5 


Illinois 


19.5 


10.5 


7.4 


7.6 


10.0 


Indiana 


14.2 


10.7 


8.2 


2.9 


10.1 


Iowa 


30.0 


15.2 


15.5 


14.3 


17.9 


Kansas 


26.1 


7.7 


7.8 


14.3 


13.0 


Kentucky 


12.7 


11.2 


5.2 


0.0 


9.3 


Louisiana 


62.7 


25.0 


21.6 


3.7 


26.6 


Maine 


23.9 


15.2 


16.7 


0.0 


18.3 


Maryland 


46.7 


20.8 


25.7 


10.5 


27.3 


Massachusetts 


48.1 


36.2 


25.9 


20.0 


32.4 


Michigan 


11.1 


2.6 


1.9 


0.0 


2.9 


Minnesota 


28.8 


25.5 


14.0 


12.5 


21.5 


Mississippi 


25.0 


9.2 


5.3 


33.3 


11.1 


Missouri 


16.0 


23.3 


13.4 


0.0 


17.0 


Montana 


14.0 


0.0 


10.7 


0.0 


8.6 


Nebraska 


11.7 


29.4 


27.1 


50.0 


24.6 


Nevada 


0.0 


0.0 


10.0 


20.0 


6.8 


New Hampshire 


46.2 


28.1 


21.1 


40.0 


30.4 


New Jersey 


45.5 


39.6 


23.7 


18.9 


27.8 


New Mexico 


38.5 


18.2 


15.6 


0.0 


20.0 


New York 


20.5 


19.6 


18.3 


32.8 


23.7 


North Carolina 


45.2 


21.7 


10.4 


7.7 


18.0 


North Dakota 


20.7 


17.5 


4.3 


0.0 


14.9 


Ohio 


30.6 


23.7 


15.3 


4.9 


19.2 


Oklahoma 


33.3 


24.9 


22.1 


22.2 


24.9 


Oregon 


32.1 


14.5 


16.7 


0.0 


18.5 


Pennsylvania 


36.5 


15.0 


11.9 


12.8 


17.2 


Rhode Island 


52.9 


29.4 


14.0 


20.0 


26.3 


South Carolina 


2.9 


6.5 


4.3 


0.0 


4.6 


South Dakota 


25.0 


7.4 


0.0 


n/a 


11.4 


Tennessee 


20.4 


8.4 


8.6 


9.1 


10.4 


Texas 


43.5 


16.7 


15.5 


10.4 


19.7 


Utah 


63.3 


11.1 


0.0 


n/a 


26.8 


Vermont 


26.7 


28.6 


72.2 


n/a 


44.7 


Virginia 


54.1 


32.6 


20.0 


25.0 


29.1 


Washington 


2.0 


2.9 


0.0 


0.0 


1.5 


West Virginia 


3.4 


1.6 


6.3 


0.0 


3.5 


Wisconsin 


44.1 


27.7 


27.5 


15.1 


27.4 


Wyoming 


30.8 


7.1 


8.3 


0.0 


15.0 



Source: OSCAR 
n/a: Data unavailable 



182 



Health Surveys Zero Citations 



I 
I 
I 
I 

I 



Table 35 (e). Percent 
Citations by Bed Size 



of Nursing Home 
Category: United 



Surveys Resulting in Zero Health Deficiency 
States, 2000 



Percent by Number of Beds 



<50 



50-99 



100-199 



>199 



All Facilities 



Nation 

Alabama 

Alaska 

Arizona 

Arkansas 

California 



21.8 

8.3 
25.0 
5.3 
0.0 
5.4 



13.1 

4.1 
0.0 
6.7 
4.3 
2.1 



8.7 

1.1 
n/a 
1.3 
3.5 

1.1 



9.9 

0.0 
100.0 
0.0 
0.0 
1.9 



12.4 

2.7 
21.4 
2.8 
3.3 
2.5 



Colorado 

Connecticut 

Delaware 

District of Columbia 

Florida 



29.4 
20.0 
20.0 
0.0 
19.8 



20.0 
22.1 
18.2 
12.5 
9.6 



9.3 
7.1 
3.7 
0.0 
5.8 



0.0 
0.0 
0.0 
0.0 
15.0 



17.4 

11.5 

9.1 

4.8 

8.6 



Georgia 

Hawaii 

Idaho 

Illinois 

Indiana 



29.2 

5.9 

3.2 

17.3 

15.6 



19.6 
0.0 
16.0 
10.8 
15.2 



8.1 
7.7 
4.2 
8.0 
5.3 



4.3 
50.0 
n/a 
8.0 
4.9 



13.0 

7.3 

7.5 

10.0 

10.7 



Iowa 

Kansas 

Kentucky 

Louisiana 

Maine 



27.8 
22.2 
18.8 
50.0 
19.5 



18.2 
8.4 

14.5 
9.6 

13.6 



7.2 

8.5 

4.2 

12.3 

17.6 



16.7 

14.3 

0.0 

8.3 

0.0 



17.5 
12.2 
11.7 
16.2 
15.9 



Maryland 

Massachusetts 

Michigan 

Minnesota 

Mississippi 



42.2 
36.8 
10.2 
17.5 
16.1 



28.8 
28.0 

3.5 
12.9 

9.2 



17.1 
16.9 

1.2 
10.8 

2.6 



20.0 

10.5 

2.5 

0.0 

0.0 



24.1 
23.1 

2.9 
12.2 

7.5 



Missouri 

Montana 

Nebraska 

Nevada 

New Hampshire 



13.2 
20.0 
26.4 
0.0 
25.0 



16.9 

21.4 

18.4 

8.3 

6.3 



6.3 

13.0 

5.1 

5.3 

20.0 



6.3 
0.0 

66.7 
0.0 

20.0 



11.4 
18.3 
18.7 
4.2 
15.2 



New Jersey 
New Mexico 
New York 
North Carolina 
North Dakota 



Ohio 

Oklahoma 
Oregon 
Pennsylvania 
Rhode Island 



43.2 
53.8 
25.0 
34.6 
14.8 



23.1 
26.9 
13.0 
24.8 
47.1 



29.1 
18.8 
12.5 
17.1 
19.4 



17.1 
10.6 
17.1 
16.2 
41.4 



11.2 

15.6 

12.0 

8.5 

0.0 



8.2 

8.1 

9.1 

11.4 

26.2 



0.0 

15.1 

5.9 

0.0 



9.1 

0.0 

50.0 

12.0 

33.3 



17.3 
23.1 
14.2 
14.5 
12.6 



12.8 
12.0 
14.1 
14.8 
35.1 



South Carolina 
South Dakota 
Tennessee 
Texas 
Utah 



9.3 

5.6 

6.3 

29.5 

43.3 



0.0 
8.2 
6.5 
9.8 
0.0 



4.3 
0.0 
3.6 
9.3 
3.0 



16.7 
n/a 
0.0 
8.3 
0.0 



4.6 

6.5 

4.6 

11.8 

14.4 



Vermont 

Virginia 

Washington 

West Virginia 

Wisconsin 

Wyoming 



14.3 
68.4 
8.2 
6.1 
52.6 
18.2 



16.7 
43.4 
5.5 
7.4 
28.2 
12.5 



15.8 

28.1 

4.8 

1.8 

22.7 

0.0 



n/a 
25.0 

0.0 

0.0 
18.8 

0.0 



15.6 

37.9 

5.5 

5.1 

27.5 

9.5 



Source: OSCAR 
n/a: Data unavailable 



183 



Health Surveys Zero Citations 



Table 35 (f). Percent of Nursing Home 
Citations by Bed Size Category: United 



Surveys Resulting in Zero Health Deficiency 
States, 2001 



Percent by Number of Beds 



<50 



50-99 



100-199 



>199 



All Facilities 



Nation 

Alabama 

Alaska 

Arizona 

Arkansas 

California 



20.6 

27.3 
10.0 
14.3 
17.4 
3.9 



11.9 

9.2 
20.0 
7.1 
4.1 
1.7 



7.9 

5.7 
n/a 
1.3 
6.7 
1.8 



8.0 

7.7 
0.0 
0.0 
25.0 
0.0 



11.3 

8.3 
11.8 
3.7 
7.0 
2.1 



Colorado 

Connecticut 

Delaware 

District of Columbia 

Florida 



28.3 
38.5 
25.0 
0.0 
16.0 



12.7 

11.3 

40.0 

0.0 

3.9 



4.7 
1.5 

4.0 

16.7 

2.1 



0.0 
4.8 
0.0 
16.7 
0.0 



12.5 
6.6 

15.0 
9.5 
3.8 



Georgia 

Hawaii 

Idaho 

Illinois 

Indiana 



22.2 
8.3 
17.2 
28.2 
18.3 



14.4 

9.1 

4.3 

12.5 

15.9 



5.6 
0.0 
0.0 
8.6 
7.8 



0.0 
0.0 
n/a 
9.7 
5.6 



9.4 

5.7 

7.7 

12.3 

12.5 



Iowa 

Kansas 

Kentucky 

Louisiana 

Maine 



15.9 
14.0 

7.6 
41.7 

7.1 



16.0 

10.9 

2.7 

4.6 

3.3 



6.5 
11.3 
3.0 
5.8 
0.0 



25.0 
0.0 
0.0 
5.0 
0.0 



14.2 
11.7 

3.9 
9.5 
4.3 



Maryland 

Massachusetts 

Michigan 

Minnesota 

Mississippi 



17.9 

50.6 

14.0 

15.8 

6.7 



26.9 
32.5 

2.7 

14.5 

4.7 



6./ 
23.0 

2.6 
15.7 

3.9 



13.3 

5.9 
8.6 
4.3 
0.0 



13.2 

29.5 

4.3 

14.5 



Missouri 

Montana 

Nebraska 

Nevada 

New Hampshire 



22.9 
16.2 
31.5 
0.0 
30.8 



13.9 
8.7 

17.3 
0.0 

20.7 



10.2 
3.8 
8.1 
4.5 

23.3 



0.0 
0.0 
0.0 
0.0 
0.0 



12.7 

10.2 

19.4 

2.0 

22.7 



New Jersey 
New Mexico 
New York 
North Carolina 
North Dakota 



42.1 
35.7 
15.9 
25.5 
19.2 



26.3 
27.6 

8.8 
10.9 

7.3 



9.8 

7.1 
7.9 
4.4 
8.7 



7.3 
0.0 
8.9 
6.7 
0.0 



16.1 

20.8 

9.0 

9.0 

10.8 



Ohio 

Oklahoma 
Oregon 
Pennsylvania 
Rhode Island 



South Carolina 
South Dakota 
Tennessee 
Texas 
Utah 



24.6 
31.4 
26.1 
21.0 
30.0 



8.1 

5.6 

7.0 

30.2 

36.7 



18.8 
12.2 
23.0 
15.9 
21.9 



17.0 

7.4 

3.8 

7.8 

14.3 



10.6 
11.5 
8.7 
12.5 
21.1 



4.8 

7.1 
1.6 
7.6 
6.1 



7.8 

0.0 

0.0 

15.4 

20.0 



0.0 

n/a 
0.0 
5.9 
0.0 



15.0 
14.7 
18.2 
15.0 
23.2 



9.2 

6.7 

3.0 

10.1 

18.1 



Vermont 

Virginia 

Washington 

West Virginia 

Wisconsin 

Wyoming 



41.7 
57.6 
4.3 
18.2 
37.1 
25.0 



16.7 

40.9 

6.9 

8.2 

22.3 

0.0 



16.7 

22.3 

2.9 

0.0 

16.8 

0.0 



n/a 
27.8 
0.0 
0.0 
20.0 
n/a 



23.8 
33.5 

4.6 

7.2 

21.2 

7.9 



Source: OSCAR 
n/a: Data unavailable 



184 



Health Surveys Zero Citations 



Table 36 (a). Percent of Nursing Home 
Citations by Type of Ownership: United 



Surveys Resulting in Zero Health Deficiency 
States 1996 



Percent by Ownership 



For-Profit 



Non-Profit 



Government 



All Facilities 



Nation 

Alabama 

Alaska 

Arizona 

Arkansas 

California 



18.1 

9.2 
100.0 
4.5 
2.0 
3.2 



27.7 

19.4 

40.0 

3.6 

6.8 

5.0 



20.4 

4.5 
16.7 
0.0 
0.0 
5.3 



20.9 

10.2 

35.3 

4.1 

2.6 

3.7 



Colorado 

Connecticut 

Delaware 

District of Columbia 

Florida 



34.1 

44.3 

0.0 

0.0 

12.9 



44.1 

60.4 

7.1 

7.7 

22.1 



38.1 
0.0 
0.0 
0.0 

20.0 



37.3 

47.3 
2.7 
5.0 

15.0 



Georgia 

Hawaii 

Idaho 

Illinois 

Indiana 



29.7 
6.3 

10.2 
6.2 
7.0 



28.8 
0.0 
38.5 
13.0 
26.5 



48.1 
0.0 

10.0 
7.3 

13.3 



30.7 
2.4 

14.6 
8.3 

11.7 



Iowa 

Kansas 

Kentucky 

Louisiana 

Maine 



24.3 
8.4 
53.1 
20.1 
31.6 



27.4 
10.4 
70.4 
19.1 
37.5 



25.0 
5.0 
54.5 
32.0 
16.7 



25.5 
8.6 
58.5 
20.7 
32.4 



Maryland 

Massachusetts 

Michigan 

Minnesota 

Mississippi 



28.8 
32.3 
2.5 
18.6 
20.9 



45.5 
51.9 
4.0 
29.0 
33.3 



28.6 
28.6 
2.4 
29.6 
38.7 



35.2 
36.7 
2.9 
25.4 
25.5 



Missouri 

Montana 

Nebraska 

Nevada 

New Hampshire 



25.6 
13.2 
28.7 
2.9 
22.9 



31.1 
14.3 
33.7 
0.0 
46.7 



28.0 
11.1 
28.8 
0.0 
21.4 



27.2 
13.3 
30.4 
2.1 
30.4 



New Jersey 
New Mexico 
New York 
North Carolina 
North Dakota 



33.8 
34.6 
33.0 
19.3 
0.0 



51.4 
48.1 
28.2 
28.7 
7.9 



34.6 
75.0 
15.7 
31.3 
0.0 



39.1 

42.5 

29.5 

21.9 

6.8 



Ohio 

Oklahoma 
Oregon 
Pennsylvania 
Rhode Island 



14.7 
25.2 
20.3 
20.1 
18.1 



24.6 
35.6 
35.3 
37.3 
42.3 



9.8 
30.0 
66.7 
10.2 

n/a 



16.9 
26.9 
25.0 
28.5 
24.5 



South Carolina 
South Dakota 
Tennessee 
Texas 
Utah 



4.7 
18.4 
11.0 
20.3 
16.4 



16.1 
19.7 
15.2 
42.1 
25.0 



0.0 

0.0 

10.3 

54.1 

0.0 



6.2 
18.3 
11.9 
24.3 
17.2 



Vermont 

Virginia 

Washington 

West Virginia 

Wisconsin 

Wyoming 



24.2 
33.7 
6.4 
15.2 
22.7 
26.3 



25.0 
51.8 
21.0 
16.0 
26.0 
16.7 



0.0 
16.7 
13.6 

8.3 
27.3 
42.9 



23.3 
38.6 
10.1 
14.7 
24.6 
30.8 



Source: OSCAR 
n/a: Data unavailable 



185 



Health Surveys by Ownership 
Zero Citations 



Table 36 (b). Percent of Nursing Home 
Citations by Type of Ownership: United 



Surveys Resulting in Zero Health Deficiency 
States 1997 



Percent by Ownership 



For- Profit 



Non-Profit 



Government 



All Facilities 



Nation 

Alabama 

Alaska 

Arizona 

Arkansas 

California 



19.2 

5.8 
0.0 
6.5 
3.1 
2.2 



28.5 

14.3 
0.0 
4.9 
9.3 
5.2 



22.9 

5.6 
57.1 
0.0 
6.7 
6.9 



22.0 

7.0 
25.0 
5.9 
4.3 
3.1 



Colorado 

Connecticut 

Delaware 

District of Columbia 

Florida 



38.8 
33.3 
15.0 
20.0 
9.6 



49.3 
47.5 
19.0 
7.7 
17.6 



39.1 

0.0 

0.0 

0.0 

18.2 



41.8 
36.2 
15.6 
11.5 
11.4 



Georgia 

Hawaii 

Idaho 

Illinois 

Indiana 



34.2 

11.1 

11.5 

5.0 

6.3 



34.4 
14.3 
15.4 
13.5 
21.1 



23.8 
0.0 

15.8 
0.0 

12.5 



33.6 
9.5 

13.1 
7.3 
9.8 



Iowa 

Kansas 

Kentucky 

Louisiana 

Maine 



17.7 
5.7 
46.2 
19.2 
32.3 



18.4 
16.6 
54.7 
31.0 
31.3 



26.1 

14.5 
70.0 
41.4 
40.0 



18.4 
10.3 
49.8 
23.1 
32.4 



Maryland 

Massachusetts 

Michigan 

Minnesota 

Mississippi 



30.7 
44.0 
2.2 
26.6 
24.1 



47.4 
58.2 
4.5 
26.4 
34.3 



71.4 
60.0 
4.9 
40.3 
43.3 



38.5 
48.0 
3.0 
28.6 
28.6 



Missouri 

Montana 

Nebraska 

Nevada 

New Hampshire 



24.6 
18.4 
45.9 
0.0 
30.6 



43.0 
30.4 
46.3 
0.0 
34.5 



35.4 
15.0 
32.7 
0.0 
23.1 



30.1 
23.1 
43.0 
0.0 
30.8 



New Jersey 
New Mexico 
New York 
North Carolina 
North Dakota 



39.0 
44.2 
38.0 
30.4 
0.0 



50.0 
48.1 
35.4 
47.7 
3.1 



35.3 

85.7 
16.4 
50.0 
50.0 



42.2 
49.4 
34.8 
34.9 
3.9 



Ohio 

Oklahoma 
Oregon 
Pennsylvania 
Rhode Island 



19.3 
21.8 
23.7 
17.3 
19.4 



31.1 
44.6 
40.6 
32.2 
40.0 



13.3 
22.2 
40.0 
20.0 
n/a 



21.9 
24.8 
27.7 
25.5 
24.7 



South Carolina 
South Dakota 
Tennessee 
Texas 
Utah 



8.1 
21.1 
30.4 
20.9 
19.0 



0.0 
19.0 
33.3 
37.8 
61.5 



0.0 
50.0 

29.6 

31.6 

0.0 



6.1 
21.0 
31.0 
23.9 
24.0 



Vermont 

Virginia 

Washington 

West Virginia 

Wisconsin 

Wyoming 



37.9 

32.9 

5.0 

9.3 

20.6 

5.9 



30.0 

48.8 

8.5 

8.0 

21.2 

0.0 



n/a 
0.0 
0.0 
12.5 
22.6 
0.0 



35.9 

37.0 

5.4 

9.2 

21.1 

2.7 



Source: OSCAR 
n/a: Data unavailable 



186 



Health Surveys by Ownership 
Zero Citations 



Table 36 (c). Percent of Nursing Home 
Citations by Type of Ownership: United 



Surveys Resulting in Zero Health Deficiency 
States 1998 



Percent by Ownership 



For-Profit 



Non-Profit 



Government 



All Facilities 



Nation 

Alabama 

Alaska 

Arizona 

Arkansas 

California 



16.3 

5.7 
100.0 
8.3 
4.3 
1.5 



25.1 

9.7 
10.0 
4.4 
4.8 
3.2 



21.1 

31.8 
20.0 

0.0 
14.3 

0.0 



19.1 

8.8 
18.8 

6.8 
4.9 
1.8 



Colorado 

Connecticut 

Delaware 

District of Columbia 

Florida 



31.4 

19.8 

9.1 

0.0 

9.6 



42.6 

34.0 

7.7 

0.0 

13.7 



39.1 
0.0 
0.0 
0.0 

14.3 



35.3 

22.5 

7.1 

0.0 

10.5 



Georgia 

Hawaii 

Idaho 

Illinois 

Indiana 



22.4 
5.3 
5.9 
6.0 
4.3 



24.3 

0.0 

0.0 

13.7 

15.4 



34.6 
0.0 
10.5 
14.3 
20.0 



23.6 
2.3 
6.0 
8.8 
7.3 



Iowa 

Kansas 

Kentucky 

Louisiana 

Maine 



13.5 
12.2 
15.8 
23.6 
13.3 



16.4 
25.7 
13.9 
38.2 
16.7 



33.3 

27.3 
0.0 

50.0 
0.0 



15.5 
18.8 
14.7 
28.3 
13.5 



Maryland 

Massachusetts 

Michigan 

Minnesota 

Mississippi 



29.9 
39.5 
2.0 
23.9 
16.2 



51.4 

4.5 

24.2 

30.6 



75.0 
61.5 

4.8 
20.0 

9.4 



38.5 
43.5 
3.0 
23.6 
17.6 



Missouri 

Montana 

Nebraska 

Nevada 

New Hampshire 



20.2 
8.8 

33.0 
7.9 

41.3 



31.8 
15.9 
33.8 
0.0 
41.7 



17.0 
6.3 

37.0 
0.0 

30.8 



23.0 
11.7 
34.2 
6.3 
39.8 



New Jersey 
New Mexico 
New York 
North Carolina 
North Dakota 



38.6 
19.1 
42.9 
21.0 
0.0 



58.8 
28.6 
40.5 
45.9 
11.3 



47.1 
20.0 
16.0 
40.0 
0.0 



46.1 
21.9 
39.5 
27.5 
9.8 



Ohio 

Oklahoma 
Oregon 
Pennsylvania 
Rhode Island 



20.7 
24.4 
22.0 
14.2 
15.4 



29.6 
34.0 
27.8 
24.9 
57.1 



25.0 
40.9 
20.0 
8.5 
n/a 



22.9 
26.4 
23.3 
19.5 
24.2 



South Carolina 
South Dakota 
Tennessee 
Texas 
Utah 



6.3 
12.9 
22.8 
17.4 
14.9 



0.0 

9.3 

19.5 

32.8 

50.0 



0.0 
20.0 
11.4 
43.9 
50.0 



4.7 
11.1 
21.0 
20.7 
22.3 



Vermont 

Virginia 

Washington 

West Virginia 

Wisconsin 

Wyoming 



32.0 
26.7 
5.2 
7.4 
16.6 
15.8 



33.3 

47.6 
5.9 
4.8 

28.4 
0.0 



100.0 

0.0 

0.0 

16.7 

19.7 

22.2 



34.2 
32.8 
4.9 
7.4 
21.3 
16.3 



Source: OSCAR 
n/a: Data unavailable 



187 



Health Surveys by Ownership 
Zero Citations 



I 



Table 36 (d). Percent of Nursing Home 
Citations by Type of Ownership: United 



Surveys Resulting in Zero Health Deficiency 
States 1999 



Percent by Ownership 



For-Profit 



Non-Profit 



Government 



All Facilities 



Nation 

Alabama 

Alaska 

Arizona 

Arkansas 

California 



13.5 

7.1 
0.0 
8.8 
3.7 
1.9 



15.9 

12.0 
0.0 

10.0 
7.1 
1.8 



19.1 

4.8 
0.0 
0.0 
15.4 
2.3 



16.1 

7.4 
6.3 
8.0 
5.4 
3.0 



Colorado 

Connecticut 

Delaware 

District of Columbia 

Florida 



20.8 

11.5 

6.3 

0.0 

9.2 



27.1 
21.3 
20.0 
16.7 
17.6 



28.0 

50.0 

0.0 

0.0 

38.5 



26.4 
13.1 
11.4 
6.7 
11.8 



Georgia 

Hawaii 

Idaho 

Illinois 

Indiana 



18.5 
9.5 
3.8 
6.5 
5.5 



19.5 
0.0 
11.5 
10.5 
10.7 



20.0 
0.0 
10.5 
15.6 
17.6 



18.6 

4.7 

9.5 

10.0 

10.1 



Iowa 

Kansas 

Kentucky 

Louisiana 

Maine 



18.2 

6.3 

7.2 

22.2 

18.5 



15.2 
7.7 
11.2 
25.0 
15.2 



31.8 
25.5 
0.0 
40.7 
16.7 



17.9 
13.0 
9.3 
26.6 
18.3 



Maryland 

Massachusetts 

Michigan 

Minnesota 

Mississippi 



20.5 
28.9 

3.5 
22.4 

8.1 



20.8 
36.2 

2.6 
25.5 

9.2 



33.3 

46.2 

2.6 

31.0 

15.4 



27.3 
32.4 
2.9 
21.5 
11.1 



Missouri 

Montana 

Nebraska 

Nevada 

New Hampshire 



15.2 
5.4 

28.3 
6.5 

19.4 



23.3 
0.0 

29.4 
0.0 

28.1 



22.4 
0.0 

14.3 
0.0 

30.0 



17.0 
8.6 

24.6 
6.8 

30.4 



New Jersey 
New Mexico 
New York 
North Carolina 
North Dakota 



22.1 
12.5 
27.0 
14.1 
8.3 



39.6 
18.2 
19.6 
21.7 
17.5 



22.2 
20.0 

8.7 
47.1 

0.0 



27.8 
20.0 
23.7 
18.0 
14.9 



Ohio 

Oklahoma 
Oregon 
Pennsylvania 
Rhode Island 



17.2 

24.2 
16.7 
13.8 
17.6 



23.7 
24.9 
14.5 
15.0 
29.4 



16.7 
23.5 

0.0 
11.1 

n/a 



19.2 
24.9 
18.5 
17.2 
26.3 



South Carolina 
South Dakota 
Tennessee 
Texas 
Utah 



3.4 
15.2 

8.7 
16.7 
22.6 



6.5 

7.4 

8.4 

16.7 

11.1 



11.8 
33.3 
11.4 
47.5 
25.0 



11.4 
10.4 
19.7 
26.8 



Vermont 

Virginia 

Washington 

West Virginia 

Wisconsin 

Wyoming 



43.3 
23.6 
1.6 
3.3 
21.3 
16.7 



28.6 

32.6 

2.9 

1.6 

27.7 

7.1 



0.0 
0.0 
4.3 
6.7 
31.7 
17.6 



44.7 
29.1 
1.5 
3.5 
27.4 
15.0 



Source: OSCAR 
n/a: Data unavailable 



188 



Health Surveys by Ownership 
Zero Citations 



* 



Table 36 (e). Percent of Nursing Home 
Citations by Type of Ownership: United 



Surveys Resulting in Zero Health Deficiency 
States 2000 



Percent by Ownership 



For-Profit 



Non-Profit 



Government 



All Facilities 



Nation 

Alabama 

Alaska 

Arizona 

Arkansas 

California 



10.1 

3.5 

n/a 
1.1 
4.2 
2.1 



17.1 

0.0 
22.2 
6.8 
0.0 
4.1 



14.6 

0.0 
20.0 
0.0 
0.0 
2.3 



12.4 

2.7 
21.4 
2.8 
3.3 
2.5 



Colorado 

Connecticut 

Delaware 

District of Columbia 

Florida 



13.8 

10.1 

0.0 

0.0 

7.2 



19.0 
16.9 
15.8 
7.7 
13.6 



36.4 

0.0 

20.0 

0.0 

7.1 



17.4 

11.5 

9.1 

4.8 

8.6 



Georgia 

Hawaii 

Idaho 

Illinois 

Indiana 



12.2 

17.6 

4.3 

8.1 

7.3 



16.4 

0.0 

6.7 

14.0 

19.0 



14.8 
0.0 
15.8 
12.2 
28.6 



13.0 

7.3 

7.5 

10.0 

10.7 



Iowa 

Kansas 

Kentucky 

Louisiana 

Maine 



20.3 
8.5 
10.0 
12.8 
14.9 



14.7 
16.3 
16.1 
18.6 
21.4 



10.5 
15.4 

0.0 
54.5 

0.0 



17.5 

12.2 
11.7 
16.2 
15.9 



Maryland 

Massachusetts 

Michigan 

Minnesota 

Mississippi 



17.2 

18.3 

2.0 

7.0 

6.2 



34.7 
34.0 
4.6 
14.3 
13.3 



22.2 
28.6 

4.8 
14.1 

8.3 



24.1 
23.1 

2.9 
12.2 

7.5 



Missouri 

Montana 

Nebraska 

Nevada 

New Hampshire 



11.3 
17.1 
17.9 
5.9 
10.0 



11.3 
18.6 
16.9 
0.0 
14.8 



12.7 
20.0 
23.3 
0.0 
33.3 



11.4 
18.3 
18.7 
4.2 
15.2 



New Jersey 
New Mexico 
New York 
North Carolina 
North Dakota 



12.4 
20.4 
14.3 
10.8 
25.0 



28.2 
27.3 
16.0 
24.2 
11.1 



6.7 
28.6 

3.9 
26.3 

0.0 



17.3 
23.1 
14.2 
14.5 
12.6 



Ohio 

Oklahoma 
Oregon 
Pennsylvania 
Rhode Island 



11.2 
9.1 
12.8 
10.7 
31.6 



18.5 
29.5 
18.2 
19.1 
50.0 



9.4 
14.3 
16.7 

6.8 
n/a 



12.8 
12.0 
14.1 
14.8 
35.1 



South Carolina 
South Dakota 
Tennessee 
Texas 
Utah 



3.9 
10.9 

4.0 
10.5 
13.0 



4.0 

2.8 

7.1 

14.2 

25.0 



9.1 
16.7 

3.1 
37.1 

0.0 



4.6 

6.5 

4.6 

11.8 

14.4 



Vermont 

Virginia 

Washington 

West Virginia 

Wisconsin 

Wyoming 



17.2 

29.6 

5.9 

4.8 

21.9 

9.1 



13.3 

51.6 
6.3 
5.3 

36.1 
0.0 



0.0 

62.5 

0.0 

6.3 

24.1 

14.3 



15.6 

37.9 

5.5 

5.1 

27.5 

9.5 



Source: OSCAR 
n/a: Data unavailable 



189 



Health Surveys by Ownership 
Zero Citations 



Table 36 (f). Percent of Nursing Home Surveys Resulting in Zero Health Deficiency 
Citations by Type of Ownership: United States 2001 







Percent by Ownership 








For-Profit 


Non-Profit Government 


All Facilities 


Nation 


8.8 


16.2 


14.8 


11.3 


Alabama 


7.5 


11.1 


10.5 


8.3 


Alaska 


50.0 


10.0 


0.0 


11.8 


Arizona 


2.1 


8.1 


0.0 


3.7 


Arkansas 


6.2 


9.8 


11.1 


7.0 


California 


1.8 


3.5 


0.0 


2.1 


Colorado 


8.4 


19.2 


23.8 


12.5 


Connecticut 


2.2 


21.4 


0.0 


6.6 


Delaware 


5.3 


22.2 


33.3 


15.0 


District of Columbia 


16.7 


0.0 


50.0 


9.5 


Florida 


2.3 


7.7 


15.4 


3.8 


Georgia 


8.6 


15.5 


4.0 


9.4 


Hawaii 


6.3 


7.7 


0.0 


5.7 


Idaho 


13.3 


0.0 


0.0 


7.7 


Illinois 


8.0 


20.8 


22.9 


12.3 


Indiana 


8.7 


18.4 


43.8 


12.5 


Iowa 


15.5 


13.2 


8.3 


14.2 


Kansas 


7.7 


13.8 


20.8 


11.7 


Kentucky 


2.2 


7.9 


0.0 


3.9 


Louisiana 


7.3 


13.1 


23.8 


9.5 


Maine 


3.6 


3.6 


16.7 


4.3 


Maryland 


7.5 


20.7 


16.7 


13.2 


Massachusetts 


25.8 


37.0 


50.0 


29.5 


Michigan 


1.7 


7.6 


10.4 


4.3 


Minnesota 


11.3 


16.1 


13.6 


14.5 


Mississippi 


5.7 


3.7 


0.0 


4.6 


Missouri 


10.1 


18.1 


17.2 


12.7 


Montana 


7.1 


12.2 


10.5 


10.2 


Nebraska 


17.5 


20.0 


23.1 


19.4 


Nevada 


0.0 


12.5 


0.0 


2.0 


New Hampshire 


27.5 


21.7 


8.3 


22.7 


New Jersey 


11.4 


25.2 


15.8 


16.1 


New Mexico 


17.0 


30.0 


20.0 


20.8 


New York 


10.8 


8.5 


2.0 


9.0 


North Carolina 


6.1 


16.5 


17.4 


9.0 


North Dakota 


22.2 


10.0 


0.0 


10.8 


Ohio 


12.1 


22.9 


16.7 


15.0 


Oklahoma 


11.0 


42.9 


25.0 


14.7 


Oregon 


17.6 


17.1 


33.3 


18.2 


Pennsylvania 


10.6 


19.2 


12.8 


15.0 


Rhode Island 


23.6 


21.7 


n/a 


n/a 


South Carolina 


10.2 


9.5 


4.3 


9.2 


South Dakota 


8.8 


4.7 


16.7 


6.7 


Tennessee 


2.7 


2.3 


6.9 


3.0 


Texas 


8.4 


15.6 


26.3 


10.1 


Utah 


15.8 


23.5 


100.0 


18.1 


Vermont 


10.7 


46.2 


100.0 


23.8 


Virginia 


27.6 


45.5 


22.2 


33.5 


Washington 


5.1 


5.3 


0.0 


4.6 


West Virginia 


4.1 


7.1 


30.0 


7.2 


Wisconsin 


16.3 


26.0 


25.8 


21.2 


Wyoming 


0.0 


0.0 


15.8 


7.9 



Source: OSCAR 
n/a: Data unavailable 



190 



Health Surveys by Ownership 
Zero Citations 



Table 37(a). Percent Distribution of Scope and Severity of Health Deficiency Citations: 
United States, 1996 

~~ — ~ ~ Percent Distribution of Scope/Severity 

~E F G~ 



Nation 

Alabama 

Alaska 

Arizona 

Arkansas 

California 



G" 

TUT 

13.6 
0.0 
30.8 
55.2 
23.0 



— C" 

■nor 

9.3 
0.0 
8.2 
7.1 
6.7 



D~ 

"30" 

41.5 
71.4 
21.4 
23.4 
35.8 



25.3 
28.6 
33.0 
10.6 
24.0 



~B3" 

2.4 
0.0 
1.4 
1.2 
2.5 



0.6 
0.0 
1.8 
0.6 
2.4 



"OTT 

0.3 
0.0 
0.0 
0.0 
0.2 



o.i 

0.0 
0.0 
0.0 
0.0 



TJX" 

0.1 
0.0 
0.0 
0.0 
0.2 



irr 

0.0 
0.0 
0.0 
0.0 
0.0 



6.9 
0.0 
3.4 
1.8 
5.2 



Colorado 

Connecticut 

Delaware 

District of Columbia 

Florida 



11.6 

1.5 

18.1 

56.7 



0.4 
1.3 

3.2 
20.0 
13.6 



52.1 
44.6 
42.4 
11.1 
21.9 



25.9 
15.4 
24.4 
5.6 
32.7 



1.2 

4.9 

2.6 

0.0 

11.6 



6.3 

29.5 

8.3 

6.7 
8.6 



2.6 

2.8 
1.2 
0.0 
3.3 



0.0 
0.0 
0.0 
0.0 
1.6 



0.0 
0.0 
0.0 
0.0 
0.0 



0.0 
0.0 
0.0 
0.0 
0.1 



0.0 
0.0 
0.0 
0.0 
0.1 



Georgia 

Hawaii 

Idaho 

Illinois 

Indiana 



18.8 
26.7 
5.4 
22.5 
14.1 



14.0 
12.3 

4.6 
15.4 

6.2 



13.7 
30.8 
22.5 
33.1 
36.4 



17.5 
8.9 
29.1 
20.9 
22.0 



9.3 
8.2 
9.8 
2.6 
3.8 



13.4 
11.0 
24.3 
4.8 
12.7 



10.4 
0.7 
4.4 
0.6 
4.1 



2.9 

1.4 
0.0 
0.0 
0.4 



0.0 
0.0 
0.0 
0.0 
0.1 



0.0 

0.0 
0.0 
0.0 
0.2 



0.1 
0.0 
0.0 
0.0 
0.0 



Iowa 

Kansas 

Kentucky 

Louisianna 

Maine 



8.2 

9.0 

9.0 

47.6 

15.1 



8.1 
11.3 
17.2 
24.6 
22.7 



32.3 
25.0 
19.0 
13.3 
29.4 



21.2 
19.7 
26.7 
9.6 
15.1 



5.0 
8.1 
10.9 
0.9 
8.4 



24.0 

19.0 

7.0 

3.9 

6.4 



1.2 
6.7 
6.3 
0.1 
1.0 



0.1 
1.0 
2.4 
0.1 
2.0 



0.0 
0.1 
0.8 
0.0 
0.0 



0.0 
0.1 
0.6 
0.0 
0.0 



0.0 
0.0 
0.2 
0.0 
0.0 



Maryland 

Massachusetts 

Michigan 

Minnesota 

Mississippi 



15.0 
5.4 
12.4 
14.6 
21.4 



8.3 
6.3 
4.0 
6.3 
15.6 



26.3 
27.1 
40.5 
32.3 
27.9 



25.6 
26.0 
25.9 
28.0 
17.0 



3.0 
5.5 
5.1 
2.3 
5.2 



6.8 
25.3 
10.4 
15.5 

8.9 



13.5 
3.8 
1.7 
1.0 
2.3 



1.5 

0.4 
0.0 
0.0 
1.0 



0.0 
0.0 
0.1 
0.0 
0.1 



0.0 
0.3 
0.0 
0.0 
0.5 



0.0 
0.1 
0.1 
0.0 
0.0 



Missouri 

Montana 

Nebraska 

Nevada 

New Hampshire 



3.6 
16.4 

5.0 
12.5 

9.8 



4.8 
9.7 
7.2 
5.5 
6.3 



26.8 
25.7 
20.7 
32.3 
42.0 



37.0 
32.0 
27.5 
32.8 
18.7 



10.1 
2.2 

10.2 
2.3 
6.3 



11.4 
12.4 
22.2 
12.8 
11.2 



5.1 
1.4 
6.7 
1.3 
3.2 



0.3 

0.0 
0.1 
0.5 
0.3 



0.4 

0.2 
0.0 
0.0 
1.7 



0.5 

0.0 
0.2 
0.0 
0.0 



0.0 
0.0 
0.1 
0.0 
-0.6 



New Jersey 
New Mexico 
New York 
North Carolina 
North Dakota 



18.2 
8.6 
22.5 
16.1 
15.8 



10.6 
6.0 
6.7 
7.0 
6.3 



25.3 
14.7 
40.5 
36.1 
38.2 



21.7 
42.2 
17.5 
16.7 
19.3 



7.3 
15.5 
2.4 
4.7 
2.6 



13.1 
10.3 
9.2 
16.6 
16.5 



3.5 

1.7 
1.2 
2.2 
1.4 



0.3 

0.9 
0.1 
0.3 
0.0 



0.0 
0.0 
0.0 
0.1 
0.0 



0.0 
0.0 
0.0 
0.1 
0.0 



0.0 
0.0 
0.0 
0.0 
0.0 



Ohio 

Oklahoma 
Oregon 
Pennsylvania 
Rhode Island 



7.3 
15.0 
14.0 
12.3 

7.6 



5.7 

23.1 

2.3 

8.9 

24.0 



40.6 
12.3 
26.4 
36.2 
38.0 



28.2 
37.9 
30.4 
22.6 
9.2 



7.8 
7.5 
5.4 
4.4 
13.6 



8.0 

3.3 

12.0 

12.8 

7.6 



1.7 
0.9 
5.7 
1.4 
0.0 



0.5 

0.0 
0.9 
0.7 
0.0 



0.0 
0.0 
0.7 
0.0 
0.0 



0.1 

0.0 
1.6 
0.1 
0.0 



0.2 
0.0 
0.8 
0.6 
0.0 



South Carolina 
South Dakota 
Tennessee 
Texas 
Utah 



6.9 

2.8 

4.0 

25.2 

20.7 



5.0 

2.8 

12.3 

22.8 

1.2 



52.4 
39.0 
32.5 
14.5 
32.7 



16.8 
7.3 
29.0 
20.0 
28.1 



5.8 
5.1 
16.5 
7.0 
1.2 



11.8 

41.8 

3.9 

7.0 

9.0 



1.0 

1.1 
1.3 
2.6 
4.2 



0.1 

0.0 
0.4 
0.6 
1.0 



0.2 
0.0 
0.1 
0.1 
0.0 



0.0 
0.0 
0.1 
0.2 
2.0 



0.0 
0.0 
0.1 
0.1 
0.0 



Vermont 

Virginia 

Washington 

West Virginia 

Wisconsin 

Wyoming 



11.3 
6.1 
10.3 
12.3 
11.8 
9.2 



9.4 
5.8 
8.3 
32.3 
10.3 
5.0 



45.3 
30.9 
33.5 
21.1 
39.2 
33.3 



16.0 
18.7 
22.5 
13.1 
25.7 
31.7 



0.0 
20.7 

4.6 
13.3 

4.0 

7.5 



17.0 
9.3 

18.0 
3.7 
8.3 

11.7 



0.0 
5.3 

2.4 
2.4 
0.7 
1.7 



0.0 
3.0 
0.2 
1.7 
0.0 
0.0 



0.9 
0.0 
0.1 
0.0 
0.0 
0.0 



0.0 
0.1 
0.1 
0.0 
0.2 
0.0 



0.0 
0.0 
0.0 
0.0 
0.0 
0.0 



Source: OSCAR 



191 



Health Deficiencies by 
Scope/Severity 



Table 37(b). Percent Distribution of Scope and Severity of Health Deficiency Citations: 
United States, 1997 



Nation 

Alabama 

Alaska 

Arizona 

Arkansas 

California 



B~ 

"137" 

10.8 

9.1 

28.9 

55.5 

16.7 



10.9 
1.8 

4.5 
4.1 
4.4 



B~ 

"352" 

48.6 
41.8 
27.1 
24.9 
47.4 



Percent 

— r~ 



Distribution of 

— f er 



Scope/Severity 

n 1 



~5ZU~ 

13.2 
18.2 
34.4 
11.0 
22.1 



"£U TTX 



irr 

0.0 
0.0 
0.0 
0.1 
0.2 



irr 

0.0 
0.0 
0.7 
0.0 
0.2 



— r 
irr 

0.0 
0.0 
0.5 
0.0 
0.1 



1.5 
1.8 
1.0 
1.5 

2.1 



14.2 

25.5 

2.8 

2.5 

5.3 



1J 

0.8 
1.8 
0.2 
0.5 
1.5 



0.0 
0.0 
0.0 
0.0 
0.1 



Colorado 

Connecticut 

Delaware 

District of Columbia 

Florida 



10.5 

0.8 

14.1 

64.1 

5.5 



2.4 

1.9 

4.3 

12.2 

10.5 



58.8 
39.8 
55.6 
10.7 
28.8 



18.4 
9.4 

14.7 
3.1 

32.1 



1.5 
3.0 
1.6 
2.3 
10.2 



8.1 
44.2 
9.8 
6.1 
9.9 



0.4 
0.9 
0.0 
0.0 
2.5 



0.0 

0.0 
0.0 
1.5 
0.2 



0.0 

0.0 
0.0 
0.0 
0.1 



0.0 
0.0 
0.0 
0.0 
0.0 



0.0 
0.0 
0.0 
0.0 
0.0 



Georgia 

Hawaii 

Idaho 

Illinois 

Indiana 



22.8 

9.1 

3.2 

17.4 

10.3 



12.6 
10.6 

2.8 
12.5 

3.7 



24.4 
35.9 
26.1 
43.8 
46.7 



18.1 
14.7 
27.5 
14.7 
23.8 



6.1 
10.1 
11.8 

1.9 

2.7 



11.9 

17.2 

25.2 

8.4 

11.3 



3.4 

0.5 
2.8 
0.7 
1.3 



0.7 
2.0 
0.0 
0.1 
0.1 



0.0 
0.0 
0.5 
0.1 
0.0 



0.0 
0.0 
0.0 
0.3 
0.1 



0.0 

0.0 
0.0 
0.1 
0.0 

~o~cT 

0.1 
0.7 
0.1 
0.0 

TuT 

0.0 
0.1 
0.0 
0.0 

To" 

0.0 
0.0 
0.0 
0.0 

"olT 

0.0 
0.0 
0.0 
0.0 

"olT 

0.0 
0.3 
0.0 
0.0 

"oT 

0.0 
0.0 
0.3 
0.0 

"oX 

0.0 
0.0 
0.0 
0.0 
0.0 



Iowa 

Kansas 

Kentucky 

Louisianna 

Maine 



4.7 

3.2 

7.2 

38.3 

10.6 



4.2 

5.3 

8.9 

19.9 

20.7 



42.9 
28.6 
31.1 
22.5 
41.2 



19.1 
20.5 
22.8 
14.6 



4.3 
9.5 
9.0 
0.6 
12.0 



22.5 

26.2 

13.7 

3.6 

4.5 



2.1 
5.1 
2.6 
0.1 
0.8 



0.0 
0.7 
1.1 
0.0 
0.8 



0.2 

0.3 
2.8 
0.0 
0.0 



0.0 
0.4 
0.0 
0.3 
0.5 



Maryland 

Massachusetts 

Michigan 

Minnesota 

Mississippi 



19.3 
4.3 
12.2 
10.0 
15.7 



10.6 
4.2 
3.7 
6.2 

15.5 



31.3 
35.7 
42.7 
37.7 
37.0 



21.4 
23.5 
26.3 
28.9 
16.7 



2.0 

4.1 
5.9 
3.0 
4.1 



12.7 
21.8 

8.7 
12.5 

9.9 



2.7 
5.7 
0.4 
1.4 
1.1 



0.0 
0.0 
0.0 
0.1 
0.0 



0.0 
0.1 
0.0 
0.2 
0.0 



0.0 
0.7 
0.1 
0.1 
0.0 



Missouri 

Montana 

Nebraska 

Nevada 

New Hampshire 



1.3 

12.9 

2.9 

15.5 

11.9 



3.0 

2.3 
6.7 
4.9 
3.8 



36.0 
31.2 
35.1 
38.3 
43.2 



32.5 
30.1 
25.5 
27.9 
19.4 



10.3 
0.6 
9.6 
1.9 
2.6 



14.4 
20.8 
18.8 
9.6 
14.2 



2.0 
2.3 
1.1 
1.9 

4.4 



0.1 
0.0 
0.0 
0.0 
0.6 



0.2 
0.0 
0.0 
0.0 
0.0 



0.2 

0.0 
0.3 
0.0 
0.0 



New Jersey 
New Mexico 
New York 
North Carolina 
North Dakota 



17.1 

25.8 
19.7 
16.3 
10.4 



14.0 

11.8 

4.4 

4.1 

3.7 



19.8 
21.5 
45.8 
39.0 
37.4 



19.7 
29.0 
17.3 
15.3 
20.6 



14.1 
5.4 
1.6 
3.3 
2.3 



11.5 

2.7 
10.9 
20.3 
23.0 



3.5 
2.7 
0.3 
1.7 
2.4 



0.4 
0.0 
0.0 
0.0 
0.3 



0.0 
0.0 
0.0 
0.0 
0.0 



0.0 

1.1 

0.0 
0.0 
0.0 



Ohio 

Oklahoma 
Oregon 
Pennsylvania 
Rhode Island 



6.4 
12.0 
8.6 
7.4 
4.5 



4.0 

26.3 

2.2 

7.4 

20.8 



45.3 
13.1 
31.2 
43.7 
52.8 



25.6 
40.5 
32.7 
21.1 
8.3 



6.6 

5.9 
3.0 
4.7 
8.7 



9.4 

2.2 

18.0 

14.7 

4.9 



1.8 

0.1 
3.6 
0.9 
0.0 



0.2 

0.0 
0.0 
0.0 
0.0 



0.6 
0.0 
0.3 
0.0 
0.0 



0.2 

0.0 
0.3 
0.1 
0.0 



South Carolina 
South Dakota 
Tennessee 
Texas 
Utah 



6.2 
1.5 

4.3 
23.2 
14.2 



2.5 

9.2 

7.0 

18.5 

1.5 



62.2 
39.9 
45.4 
20.7 
34.3 



13.0 
14.2 
26.1 
19.1 
40.7 



8.3 
4.4 
10.7 
7.3 
2.2 



6.4 
29.9 
6.1 
8.6 
7.1 



1.0 
0.9 
0.2 
1.4 
0.0 



0.1 

0.0 
0.0 
0.2 
0.0 



0.1 
0.0 
0.2 
0.2 
0.0 



0.0 
0.0 
0.0 
0.4 
0.0 



Vermont 

Virginia 

Washington 

West Virginia 

Wisconson 

Wyoming 



9.2 
6.1 
8.9 
19.3 
6.8 
3.5 



7.9 
5.4 
5.8 
24.4 
6.6 
2.2 



42.1 
40.7 
36.9 
34.0 
41.9 
40.8 



11.8 
14.7 
19.2 
10.4 
29.6 
25.9 



0.0 
16.2 
4.8 
6.5 
3.9 
10.5 



22.4 
12.1 
20.7 
3.3 
10.3 
12.3 



6.6 
3.2 
3.2 
2.0 
1.0 
4.4 



0.0 
1.2 
0.3 
0.2 
0.0 
0.4 



0.0 
0.2 
0.1 
0.0 
0.0 
0.0 



0.0 
0.2 
0.1 
0.0 
0.0 
0.0 



Source: OSCAR 



192 



Health Deficiencies by 
Scope/Severity 



Table 37(c). Percent Distribution of Scope and Severity of Health Deficiency Citations: 
United States, 1998 



B" 

"ira - 

10.9 
4.9 
14.7 
34.5 
14.4 



13.8 

14.8 
3.7 
4.5 
4.6 



F 

54.2 
34.4 
39.2 
38.2 
49.8 



Percent Distril 
E F 



ution of 
GT 



Scope/Severity 
R 1 



9.3 
21.3 
30.6 
15.6 
19.8 



TJ TO" 



T7" 

o.o 

0.0 
0.5 
0.9 
1.7 



IT 



TTT 

o.o 

0.0 
1.8 
0.1 
0.1 



Nation 

Alabama 

Alaska 

Arizona 

Arkansas 

California 



1.8 
4.9 
0.6 
2.1 
2.4 



10.1 

18.0 

7.6 

3.5 

6.8 



1T1 

0.0 
0.0 
0.0 
0.0 
0.1 



1T3 

0.0 
1.6 
1.0 
0.4 
0.2 



U3 

0.0 
0.0 
0.3 
0.4 
0.3 



Colorado 

Connecticut 

Delaware 

District of Columbia 

Florida 



10.6 

0.3 

13.9 

50.6 

4.0 



2.7 
1.6 
5.2 
8.9 
7.1 



59.5 
47.1 
52.3 
22.8 
35.7 



18.9 
7.0 

15.3 
3.8 

27.8 



0.8 
3.6 
0.7 
5.1 
11.3 



5.6 

38.5 

11.9 

7.6 

10.7 



1.7 
1.9 

0.7 
0.0 
2.6 



0.0 
0.0 
0.0 
1.3 
0.5 



0.0 

0.0 
0.0 
0.0 
0.1 



0.2 

0.0 
0.0 
0.0 
0.1 



0.0 
0.0 
0.0 
0.0 
0.1 



Georgia 

Hawaii 

Idaho 

Illinois 

Indiana 



26.5 
14.6 

2.0 
12.9 

8.3 



11.1 
9.2 
1.8 

11.9 
2.6 



26.9 
33.6 
34.3 
43.9 
44.4 



19.6 
20.0 
29.1 
16.8 
25.0 



5.3 

10.2 
9.5 
3.1 
2.6 



7.9 

8.8 

19.3 

10.3 

13.2 



1.7 
1.7 
4.1 
0.6 
2.3 



0.2 

0.7 
0.0 
0.0 
0.2 



0.0 
1.4 
0.0 
0.4 
0.8 



0.7 
0.0 
0.0 
0.2 
0.5 



0.0 
0.0 
0.0 
0.0 
0.2 
"O" 
0.0 
0.2 
0.0 
0.0 

To" 

0.1 
0.1 
0.0 
0.0 

~oX 

0.0 
0.0 
0.0 
0.0 

"oX 

0.9 
0.0 
0.0 
0.0 
~0~0~ 
0.0 
0.6 
0.0 
0.0 

"oX 

0.0 
0.1 
0.1 
0.0 

"o~o" 

0.0 
0.0 
0.0 
0.0 
0.0 



Iowa 

Kansas 

Kentucky 

Louisianna 

Maine 



4.3 

1.0 

4.3 

29.0 

6.6 



5.0 

2.9 

10.5 

13.7 

14.9 



53.2 
33.5 
36.2 
26.4 
50.1 



19.0 
21.2 
23.3 
21.5 
15.7 



3.7 
9.2 
8.8 
2.8 
7.5 



13.5 

26.9 

10.0 

5.9 

4.8 



0.6 
4.2 
5.4 
0.7 
0.0 



0.0 
0.2 
0.5 
0.0 
0.0 



0.6 

0.6 
0.8 
0.0 
0.4 



0.2 

0.3 
0.2 
0.1 
0.0 



Maryland 

Massachusetts 

Michigan 

Minnesota 

Mississippi 



17.7 
2.9 
9.9 
6.0 

17.2 



6.4 
3.6 
2.7 
5.5 
18.9 



41.7 
37.0 
37.1 
37.7 
33.9 



18.7 
25.1 
31.4 
24.2 
17.4 



1.4 
4.1 
6.8 
3.0 
3.0 



12.1 
21.8 
10.8 
17.3 
7.6 



2.1 

4.3 
1.0 
2.9 
1.2 



0.0 

0.3 
0.0 
0.4 
0.1 



0.0 
0.6 
0.1 
2.1 
0.2 



0.0 
0.2 
0.1 
1.0 
0.6 



Missouri 

Montana 

Nebraska 

Nevada 

New Hampshire 



1.8 
5.8 
2.9 
12.4 
7.5 



2.2 
3.6 
3.0 
2.1 
4.9 



34.1 
33.0 
29.6 
41.9 
47.4 



38.9 
36.4 
29.4 
28.6 
14.2 



9.4 

2.5 

10.6 

2.7 

6.2 



10.8 
15.4 
23.4 
10.0 
15.9 



1.6 
3.2 
1.0 
1.9 
2.2 



0.1 

0.0 
0.0 
0.0 
1.8 



0.7 
0.2 
0.1 
0.0 
0.0 



0.3 
0.0 
0.0 
0.5 
0.0 



New Jersey 
New Mexico 
New York 
North Carolina 
North Dakota 



13.6 
13.8 
19.1 
13.7 



12.4 

13.2 

5.5 

4.7 

4.8 



23.8 
20.0 
41.0 
44.1 
48.4 



21.8 
37.9 
20.6 
14.9 
16.9 



13.0 
7.1 
1.4 
3.7 
2.9 



13.8 
5.9 
11.1 
18.1 
16.0 



1.6 
0.0 
1.0 
0.7 
2.1 



0.0 
0.3 
0.0 
0.0 
0.0 



0.0 

0.9 
0.0 
0.1 
0.0 



0.0 
0.0 
0.4 
0.0 
0.0 



Ohio 

Oklahoma 
Oregon 
Pennsylvania 
Rhode Island 



7.1 
8.7 
4.7 
6.1 
8.6 



3.3 

20.4 

3.3 

5.6 

14.0 



41.0 
13.9 
33.8 
43.8 
50.0 



29.2 
47.8 
27.1 
21.5 
8.0 



6.8 
4.1 
3.4 
5.7 
13.4 



9.7 

4.3 

21.5 

15.6 

4.6 



1.8 

0.7 
4.5 
1.3 
1.1 



0.2 

0.0 
0.3 
0.2 
0.3 



0.4 

0.0 
0.4 
0.1 
0.0 



0.5 

0.0 
0.6 
0.1 
0.0 



South Carolina 
South Dakota 
Tennessee 
Texas 
Utah 



5.7 
0.9 
1.1 
22.0 
7.3 



1.6 
4.8 
3.2 
17.1 
0.8 



68.6 
39.0 
50.3 
26.3 
30.1 



10.0 
20.5 
26.9 
18.2 
42.1 



7.9 

3.3 

10.1 

6.3 

4.9 



5.7 

31.3 

5.4 

8.5 



0.4 
0.0 
1.3 
1.0 
4.9 



0.1 
0.3 
0.0 
0.1 
1.0 



0.0 
0.0 
0.9 
0.2 
0.0 



0.1 
0.0 
0.9 
0.3 
0.0 



Vermont 

Virginia 

Washington 

West Virginia 

Wisconsin 

Wyoming 



5.2 
3.9 
8.1 
10.4 
5.5 
9.0 



7.8 
2.7 
4.6 
23.9 
6.2 
2.7 



41.6 
59.1 
37.7 
40.8 
45.7 
39.9 



22.1 
13.1 
20.8 
13.1 
31.0 
34.0 



2.6 
6.7 
4.6 
7.3 
3.1 
8.5 



14.3 

12.2 

20.9 

4.6 

7.9 

5.9 



6.5 

2.2 
2.9 
0.0 
0.4 
0.0 



0.0 
0.1 
0.2 
0.0 
0.0 
0.0 



0.0 
0.0 
0.1 
0.0 
0.1 
0.0 



0.0 
0.0 
0.1 
0.0 
0.1 
0.0 



Source: OSCAR 



193 



Health Deficiencies by 
Scope/Severity 



Table 37(d). Percent Distribution of Scope and Severity of Health Deficiency Citations: 
United States, 1999 



Alabama 

Alaska 

Arizona 

Arkansas 

California 



Percent Distribution of Scope/Severity 


B 


C 


D 


E F G H 1 


J 


K 


L 


a'tion §.6 


6.4 


43.7 


23.1 5.5 10.6 1.3 0.1 


0.3 


0.2 


0.1 



5.5 

3.1 

9.0 

18.0 

13.7 



11.7 
9.4 
3.3 

5.4 
4.7 



59.8 
41.7 
48.7 
37.8 
52.1 



8.9 
24.0 
25.1 
23.5 
19.6 



4.1 
8.3 
0.6 
3.7 
2.3 



8.7 

13.5 

11.1 

5.8 

6.4 



0.5 
0.0 
1.0 
2.1 
0.9 



0.3 
0.0 
0.0 
0.1 
0.1 



0.1 
0.0 
1.3 
1.3 
0.1 



0.0 
0.0 
0.0 
1.6 
0.1 



0.5 
0.0 
0.0 
0.7 
0.0 



Colorado 

Connecticut 

Delaware 

District of Columbia 

Florida 



11.7 

1.3 

12.8 

38.5 

2.7 



2.0 
2.3 
4.0 
18.4 
6.6 



60.8 
52.0 
50.7 
33.0 
41.6 



19.4 
7.6 

11.7 
6.4 

27.5 



0.9 
1.6 
4.0 
3.7 
11.8 



4.3 

34.0 

15.7 

0.0 

8.1 



0.9 0.0 

1.1 0.1 

1.1 0.0 

0.0 0.0 

1.3 0.1 



0.0 
0.0 
0.0 
0.0 
0.1 



0.0 
0.0 
0.0 
0.0 
0.0 



0.0 

0.0 
0.0 
0.0 
0.1 



Georgia 

Hawaii 

Idaho 

Illinois 

Indiana 



16.8 
15.0 

3.4 
12.6 

6.3 



9.3 
7.5 
2.8 
10.1 
2.1 



39.0 
47.6 
42.5 
45.7 
44.8 



16.0 
15.3 
24.5 
18.1 
26.0 



5.7 



2.8 

3.6 



11.6 
5.4 

16.3 
9.7 

14.6 



1.0 
0.3 
0.9 
0.7 
1.8 



0.0 
0.0 
0.0 
0.0 
0.1 



0.2 
0.0 
0.5 
0.2 
0.2 



0.4 
0.0 
0.2 
0.1 
0.3 



0.0 
0.0 
0.2 
0.0 
0.2 



Iowa 

Kansas 

Kentucky 

Louisianna 

Maine 



7.5 
0.6 
3.7 
11.0 
3.9 



5.2 
3.3 

8.4 
11.7 
11.0 



51.5 
46.4 
41.6 
32.7 
51.3 



20.4 
23.2 
20.4 
30.6 
18.1 



5.3 

8.7 

12.2 

5.3 

8.1 



9.6 

15.7 

10.7 

8.0 

6.5 



0.5 

1.8 
1.8 
0.3 
0.4 



0.0 
0.0 
0.1 
0.0 
0.0 



0.2 

0.2 
0.5 
0.1 
0.2 



0.0 
0.1 
0.6 
0.3 
0.6 



0.0 
0.0 
0.0 
0.0 
0.0 



Maryland 

Massachusetts 

Michigan 

Minnesota 

Mississippi 



8.9 
2.1 
8.8 
6.5 
15.3 



4.4 
3.3 
2.8 
7.2 
16.2 



39.0 
42.5 
40.2 
43.7 
35.9 



24.2 
22.6 
30.6 
20.5 
17.1 



4.9 
5.1 
6.7 
4.1 
3.9 



13.8 
22.5 

9.7 
16.0 

9.0 



4.7 
1.8 
0.8 
1.3 
1.5 



0.0 
0.0 
0.0 
0.0 
0.0 



0.0 
0.1 

0.2 
0.4 
0.2 



0.0 
0.0 
0.2 
0.3 
0.9 



0.0 
0.0 
0.1 
0.0 
0.0 



Missouri 

Montana 

Nebraska 

Nevada 

New Hampshire 



2.5 
7.5 
3.9 
9.9 
8.5 



4.0 
3.6 
2.5 
1.6 
5.9 



33.2 
46.0 
40.2 
51.8 
39.5 



35.8 
28.7 
27.5 
25.9 
16.6 



9.4 
0.9 
9.2 
4.0 
5.5 



11.1 
12.9 
15.7 
6.5 
17.0 



2.6 0.2 

0.4 0.0 

1.1 0.0 

0.2 0.0 

4.1 2.6 



0.7 
0.0 
0.0 
0.0 
0.0 



0.4 
0.0 
0.0 
0.0 
0.0 



0.1 
0.0 
0.0 
0.2 
•0.4 



New Jersey 
New Mexico 
New York 
North Carolina 
North Dakota 



12.8 

3.7 

13.0 

7.7 
11.1 



9.2 
6.4 
3.7 
3.8 
5.5 



27.0 
26.5 
42.1 
53.7 
50.3 



22.0 
38.1 
21.9 
14.2 
13.8 



8.4 
12.5 
1.2 
2.4 
0.6 



17.3 
7.1 
13.2 
16.8 
16.6 



3.2 
3.4 
3.3 
0.6 
2.1 



0.0 
0.5 
0.0 
0.0 
0.0 



0.1 
0.3 
0.6 
0.2 
0.0 



0.0 
1.0 
0.8 
0.5 
0.0 



0.0 
0.5 
0.1 
0.1 
0.0 



Ohio 

Oklahoma 
Oregon 
Pennsylvania 
Rhode Island 



7.5 
2.8 
6.3 
7.0 



3.2 

17.9 
2.8 
5.1 

18.0 



42.0 
11.2 
31.5 
47.9 
47.1 



31.5 
52.9 
26.2 
21.8 
9.8 



7.3 
5.8 
3.2 
5.5 
11.9 



7.3 

3.9 

24.9 

12.2 

5.5 



1.5 
0.5 
5.2 
0.6 
0.6 



0.0 
0.0 
0.2 
0.1 
0.0 



0.1 
0.3 
0.8 
0.1 
0.0 



0.2 
0.0 
1.7 
0.2 
0.0 



0.1 
0.0 
0.7 
0.3 
0.0 



South Carolina 
South Dakota 
Tennessee 
Texas 
Utah 



3.9 

6.1 

0.4 

14.7 

2.5 



3.1 
7.3 
2.9 
15.4 
0.0 



64.4 
37.8 
52.9 
29.2 
32.6 



12.0 
21.3 
22.1 
22.5 
52.3 



9.5 
5.8 
10.0 
7.3 
1.8 



5.3 

21.8 
9.0 
8.6 
6.8 



0.8 
0.0 
0.7 
1.2 
2.9 



0.0 
0.0 
0.2 
0.2 
0.0 



0.4 
0.0 
1.1 
0.4 
1.1 



0.6 
0.0 
0.6 
0.2 
0.0 



0.2 
0.0 
0.1 
0.4 
0.0 



Vermont 

Virginia 

Washington 

West Virginia 

Wisconsin 

Wyoming 



2.7 
6.3 
7.0 
7.6 
5.7 
4.7 



5.4 
5.3 
3.4 
20.2 
7.4 
3.0 



45.1 
64.9 
42.2 
41.8 
52.1 
26.9 



27.9 
7.6 
23.5 
14.1 
22.9 
32.9 



1.8 
5.2 
6.3 
7.6 
3.1 
11.1 



9.0 
8.2 

15.8 
8.0 
8.0 

12.4 



8.1 0.0 

1.3 1.0 

1.5 0.0 

0.5 0.0 

0.3 0.0 

9.0 0.0 



0.0 
0.0 
0.3 
0.2 
0.4 
0.0 



0.0 
0.0 
0.1 
0.0 
0.1 
0.0 



0.0 
0.1 
0.0 
0.0 
0.0 
0.0 



Source: OSCAR 



194 



Health Deficiencies by 
Scope/Severity 



Table 37 (e). Percent Distribution of Scope and Severity of Health Deficiency Citations: 
United States, 2000 

~ — Percent Distribution ot Scope/Severity 



B 

w 

4.4 

9.3 

12.6 

11.8 

17.4 



C 

TT" 

14.4 

14.7 

5.0 

3.3 



D 

57.6 
41.3 
45.1 
41.7 
53.4 



H 



I 



10.8 
28.0 
29.3 
27.8 
18.0 



T3 - 

6.5 
5.3 
0.8 
3.0 
2.4 



TTT 

4.3 
1.3 
5.2 
6.2 
3.3 



0.0 
0.0 
0.0 
0.1 
0.0 



J 

l.i 

0.0 
0.0 
1.0 
0.0 



K 

0.5 
0.0 
0.0 
2.6 
0.1 



L 

inr 

0.0 
0.0 
0.0 
0.3 
0.1 



Nation 

Alabama 

Alaska 

Arizona 

Arkansas 

California 



0.4 
0.0 
2.0 
2.3 
0.5 



Colorado 

Connecticut 

Delaware 

District of Columbia 

Florida 



10.9 
1.3 

14.2 

32.9 

2.4 



1.8 
2.1 
5.7 
29.3 
4.8 



59.3 
74.3 
56.5 
22.6 
47.6 



17.1 
7.5 
7.6 
6.1 

27.1 



1.5 
2.0 
4.1 
6.1 
12.4 



7.0 

12.5 

10.1 

3.1 

4.9 



1.6 
0.3 
1.9 
0.0 
0.4 



0.2 

0.0 
0.0 
0.0 
0.1 



0.3 

0.0 
0.0 
0.0 
0.1 



0.5 

0.0 
0.0 
0.0 
0.0 



0.0 
0.0 
0.0 
0.0 
0.2 



Georgia 

Hawaii 

Idaho 

Illinois 

Indiana 



18.3 
13.4 

4.6 
13.2 

6.6 



9.7 
8.6 
2.2 
10.2 
1.6 



44.5 
46.9 
49.5 
47.3 
47.1 



15.7 
15.4 
24.7 
18.5 
28.7 



5.0 

7.2 
5.9 
2.7 
2.6 



5.6 

8.6 
12.7 

7.4 
10.7 



0.6 

0.0 
0.4 
0.3 
2.3 



0.0 
0.0 
0.0 
0.1 
0.0 



0.0 
0.0 
0.0 
0.2 
0.2 



0.6 

0.0 
0.0 
0.1 
0.2 



0.0 
0.0 
0.0 
0.0 
0.0 

To" 

0.0 
0.0 
0.2 
0.0 

To" 

0.0 
0.0 
0.0 
0.1 

To - 

0.0 
0.0 
0.4 

p.o 
To" 

0.0 
0.0 
0.1 
0.0 

To" 

0.4 
0.5 
0.1 
0.0 

Tb~ 

0.0 
0.8 
0.4 
3.1 

To" 

0.0 
0.1 
0.0 
0.0 
0.0 



Iowa 

Kansas 

Kentucky 

Louisianna 

Maine 



10.4 
0.6 
2.9 
4.4 
3.5 



8.6 

2.4 

5.7 

5.6 

14.1 



48.8 
49.7 
45.1 
39.2 
57.0 



21.0 
23.6 
23.0 
33.5 
15.2 



6.0 
9.7 
12.3 
9.9 
6.2 



4.7 
12.1 
7.5 
5.8 
3.1 



0.2 

1.3 
2.0 
0.4 
0.4 



0.0 
0.0 
0.0 
0.0 
0.2 



0.3 

0.3 
1.1 
0.2 
0.2 



0.0 
0.4 
0.5 
0.9 
0.0 



Maryland 

Massachusetts 

Michigan 

Minnesota 

Mississippi 



11.7 
4.9 

10.1 
4.8 

18.9 



4.2 
2.5 
2.5 
8.4 
16.5 



45.8 
49.4 
43.0 
49.6 
40.4 



26.5 
22.9 
29.9 
21.8 
13.9 



1.5 
2.9 
6.9 
4.4 
3.0 



9.2 
16.0 

6.9 
10.0 

4.4 



1.2 
1.1 
0.6 
0.6 
0.5 



0.0 

0.0 
0.0 
0.0 
0.1 



0.0 
0.3 
0.0 
0.2 
1.5 



0.0 
0.1 
0.2 
0.2 
0.8 



Missouri 

Montana 

Nebraska 

Nevada 

New Hampshire 



4.8 

4.7 

7.6 

10.7 

2.0 



5.6 
3.1 

9.7 
2.8 
3.1 



39.3 

44.4 
43.3 
54.4 
56.0 



37.6 
30.4 
24.7 
21.0 
19.1 



7.3 

4.4 
7.7 
2.3 
5.7 



4.7 

11.5 

6.6 

7.8 

13.1 



0.5 
1.3 
0.3 
0.4 
0.9 



0.0 
0.0 
0.0 
0.0 
0.0 



0.1 
0.0 
0.0 
0.2 
0.0 



0.0 
0.2 
0.0 
0.2 
0.0 



New Jersey 
New Mexico 
New York 
North Carolina 
North Dakota 



10.1 
4.6 

11.3 
9.3 

14.3 



4.7 
4.6 
4.6 
4.3 
9.3 



33.3 
28.0 

43.8 
54.2 
51.0 



25.7 
37.5 
23.6 
15.0 
12.4 



9.4 
11.7 
1.1 
2.5 
3.4 



12.7 

6.3 

12.8 

13.7 

8.3 



3.2 
3.3 
1.8 
0.3 
1.0 



0.1 

1.4 
0.0 
0.0 
0.0 



0.3 

0.5 
0.2 
0.2 
0.3 



0.5 
2.2 
0.8 
0.4 
0.0 



Ohio 

Oklahoma 
Oregon 
Pennsylvania 
Rhode Island 



6.2 
4.6 
2.7 
5.7 
5.5 



3.3 

11.1 

2.1 

5.2 

14.0 



45.6 
13.6 
48.5 
52.7 
50.6 



31.9 
60.3 
25.8 
19.8 
14.8 



6.0 
4.9 

2.7 
5.0 
9.7 



6.0 

3.7 

15.4 

10.1 

5.1 



0.8 
0.7 
1.1 
1.0 

0.4 



0.1 

0.0 
0.0 
0.4 
0.0 



0.1 
0.3 
0.5 
0.0 
0.0 



0.1 

0.4 
0.7 
0.1 
0.0 



South Carolina 
South Dakota 
Tennessee 
Texas 
Utah 



5.5 
10.2 

1.3 
10.8 

5.2 



4.3 
6.6 
4.8 
13.7 
0.0 



64.1 
52.2 
56.3 
28.9 
33.4 



13.7 
21.1 
20.5 
27.6 
48.5 



7.3 
3.6 
6.8 
9.2 
2.2 



5.0 

6.2 
7.2 
7.4 
5.5 



0.1 

0.0 
0.2 
0.9 
1.5 



0.0 
0.0 
0.0 
0.1 
0.0 



0.0 
0.0 
1.3 
0.3 
0.0 



0.0 

0.0 
1.0 
0.7 
0.6 



Vermont 

Virginia 

Washington 

West Virginia 

Wisconsin 

Wyoming 



7.8 
12.0 
10.8 
6.5 
5.0 
5.7 



3.6 
6.9 
3.8 
19.4 
6.7 
1.3 



52.5 
57.6 
45.0 
50.1 
54.4 
46.7 



29.1 
8.7 
23.4 
16.3 
24.5 
20.3 



0.0 
5.3 
5.9 
5.0 
2.9 
4.1 



7.1 
8.1 
9.5 
2.6 
5.5 
18.1 



0.0 
0.5 
0.8 
0.0 
0.3 
3.8 



0.0 
0.5 
0.0 
0.0 
0.0 
0.0 



0.0 
0.0 
0.4 
0.3 
0.5 
0.0 



0.0 
0.3 
0.2 
0.0 
0.3 
0.0 



Source: OSCAR 



195 



Health Deficiencies by 
Scope/Severity 



Table 37 (f). Percent Distribution of Scope and Severity of Health Deficiency Citations: 
United States, 2001 



Nation 

Alabama 

Alaska 

Arizona 

Arkansas 

California 



TT 

4.6 

5.5 

15.6 

13.3 

19.4 



— c~ 

11.4 

11.8 

5.3 

3.8 

4.3 



— d~ 

60.1 
49.1 
49.5 
35.8 
55.4 



Percent 

E~~ 



Distribution of 
F 5" 



Scope/Severity 
H 1 



12.5 
20.9 
26.5 
29.9 
16.7 



"5TT 

6.3 
2.7 
1.1 
4.6 
2.4 



4.0 
9.1 
1.8 
5.2 
1.5 



0.0 
0.0 
0.0 
0.0 
0.0 



"D3" 

0.4 
0.0 
0.0 
1.0 
0.0 



~" R~ 
TO" 

0.4 
0.0 
0.0 
3.7 
0.1 



~~ r 
irr 

0.0 
0.9 
0.0 
0.9 
0.1 



0^ 

0.3 
0.0 
0.2 
2.0 
0.2 



Colorado 

Connecticut 

Delaware 

District of Columbia 

Florida 



7.6 

0.6 

25.7 

30.7 

2.7 



2.1 

2.9 

12.1 

22.7 

3.8 



61.2 
73.2 
44.2 
28.0 
55.4 



21.0 
8.6 
9.2 
5.8 

23.3 



0.7 
1.2 
4.9 
6.7 
10.0 



6.7 
12.6 
3.4 
5.8 
3.9 



0.5 
0.2 
0.0 
0.4 
0.3 



0.0 

0.0 
0.0 
0.0 
0.1 



0.1 

0.5 
0.0 
0.0 
0.1 



0.2 

0.2 
0.5 
0.0 
0.2 



0.0 
0.0 
0.0 
0.0 
0.2 



Georgia 

Hawaii 

Idaho 

Illinois 

Indiana 



14.7 
13.7 
12.7 
11.7 
10.7 



10.7 
9.6 
4.0 

10.9 
1.9 



46.2 
46.3 
50.1 
51.1 
50.5 



15.3 
19.2 
20.3 
17.9 
26.3 



5.5 

8.0 
4.8 
2.6 
2.0 



5.6 
1.6 

8.1 
5.2 
6.9 



0.0 
0.0 
0.0 
0.1 
0.8 



0.0 
0.6 
0.0 
0.0 
0.0 



0.3 

1.1 
0.0 
0.3 
0.4 



1.5 

0.0 
0.0 
0.1 
0.4 



0.2 

0.0 
0.0 
0.0 
0.1 

~b~o~ 

0.0 
0.3 
0.3 
0.7 

To" 

0.0 
0.0 
0.1 
0.0 

To" 

0.0 
0.0 
0.0 
0.0 

~b~o~ 

0.0 
0.0 
0.1 
0.0 

To" 

0.3 
0.0 
0.0 
0.0 

"oX 

0.0 
0.4 
0.4 
0.6 

"o~o" 

0.3 
0.0 
0.0 
0.1 
0.0 



Iowa 

Kansas 

Kentucky 

Louisianna 

Maine 



5.1 

0.8 
3.2 
3.6 

7.0 



5.0 
2.9 
4.7 
5.5 
14.5 



49.3 
47.8 
55.3 
36.1 
50.9 



24.4 
29.1 
18.8 
39.9 
16.9 



12.2 

10.5 

8.9 

8.7 

7.0 



3.3 
7.3 
6.8 
4.8 
1.7 



0.2 
1.0 
0.8 
0.2 
1.2 



0.0 
0.0 
0.1 
0.0 
0.0 



0.4 

0.4 
0.8 
0.3 
0.2 



0.0 
0.4 
0.4 
0.6 
0.0 



Maryland 

Massachusetts 

Michigan 

Minnesota 

Mississippi 



11.1 
3.8 

12.9 
5.4 

15.0 



3.6 
2.4 
3.6 
6.6 
13.4 



49.6 
57.4 
45.5 
54.8 
48.4 



28.7 
21.5 
27.8 
22.2 
13.9 



1.1 

2.5 
6.0 
2.0 
4.0 



5.4 
11.8 
4.0 
7.8 
4.2 



0.5 
0.5 
0.1 
0.2 
0.1 



0.0 
0.0 
0.0 
0.0 
0.0 



0.0 
0.0 
0.1 
0.7 
0.7 



0.0 
0.1 
0.0 
0.2 
0.4 



Missouri 

Montana 

Nebraska 

Nevada 

New Hampshire 



5.5 
10.5 

3.7 
14.2 

3.9 



3.9 
5.4 
4.3 
2.7 
6.7 



46.5 
37.3 
47.4 
63.8 
58.8 



33.9 
36.1 
29.2 
14.4 
12.9 



7.2 
2.4 
9.0 
3.3 
7.0 



2.4 
6.4 
6.2 
1.2 
10.1 



0.1 
1.9 
0.1 
0.4 
0.6 



0.0 

0.0 
0.0 
0.0 
0.0 



0.6 

0.0 
0.1 
0.0 
0.0 



0.0 
0.0 
0.0 
0.0 
0.0 



New Jersey 
New Mexico 
New York 
North Carolina 
North Dakota 



7.9 
1.3 

10.3 
8.8 

14.8 



3.0 
1.5 
3.2 
4.5 
6.7 



40.3 
31.6 
49.5 
58.2 
52.1 



26.9 
47.2 
20.4 
16.3 
16.2 



8.2 

7.9 
1.8 
2.8 
0.3 



10.9 
6.1 

11.8 
8.5 
9.5 



2.2 
2.6 
1.5 
0.2 
0.6 



0.0 
0.0 
0.0 
0.0 
0.0 



0.6 

0.0 
0.8 
0.6 
0.0 



0.1 
1.8 
0.8 
0.1 
0.0 



Ohio 

Oklahoma 
Oregon 
Pennsylvania 
Rhode Island 



8.4 

8.4 
4.0 
7.1 
4.8 



3.4 
7.0 
1.4 
4.9 
19.8 



49.6 
19.4 
48.4 
57.9 
55.9 



27.6 
53.4 
27.8 
18.5 
8.7 



4.7 
3.7 
3.9 
5.9 
6.3 



5.3 

4.2 

13.1 

5.6 

4.5 



0.7 
1.8 
0.9 
0.0 
0.0 



0.0 
0.0 
0.0 
0.0 
0.0 



0.2 

0.9 
0.1 
0.0 
0.0 



0.1 
1.0 
0.5 
0.0 
0.0 



South Carolina 
South Dakota 
Tennessee 
Texas 
Utah 



7.9 
10.1 

0.9 
12.1 

0.9 



4.4 
6.6 
5.4 
13.5 
1.1 



63.7 
47.0 
60.3 
31.2 
35.8 



12.2 
22.1 
18.9 
25.8 
51.6 



4.5 

2.5 
7.2 
8.1 
2.3 



3.8 
10.3 
6.0 
7.3 
4.5 



0.7 
1.4 
0.0 
0.7 
1.1 



0.0 
0.0 
0.0 
0.1 
0.0 



0.9 

0.0 
0.6 
0.2 
0.6 



1.5 

0.0 
0.2 
0.8 
1.7 



Vermont 

Virginia 

Washington 

West Virginia 

Wisconsin 

Wyoming 



18.8 
11.2 

10.6 
7.9 
5.7 
4.5 



0.8 
5.1 
3.9 
14.0 
6.7 
2.3 



45.9 
63.9 
46.1 
50.1 
53.7 
66.6 



24.8 
9.2 
25.3 
18.4 
25.9 
17.6 



0.0 

4.7 
3.4 
5.9 
2.3 
2.3 



4.5 
9.3 
3.7 
4.5 
5.7 



0.0 
0.5 
0.9 
0.0 
0.3 
1.1 



0.0 

0.0 
0.0 
0.0 
0.0 
0.0 



0.0 
0.3 
0.4 
0.0 
0.7 
0.0 



0.0 
0.2 
0.1 
0.0 
0.2 
0.0 



Source: OSCAR 



196 



Health Deficiencies by 
Scope/Severity 



Table 38 (a). Nursing Home Surveys Resulting 
Immediate Jeopardy to Residents by Bed Size 



in a Health Deficiency of Actual Harm 
Category: United States, 1996 



or 



Percent by Number of Beds 



<50 



50-99 



100-199 



>199 



All Facilities 



Nation 

Alabama 

Alaska 

Arizona 

Arkansas 

California 



13.9 

11.8 
0.0 

13.3 
3.0 

13.7 



25.9 

22.0 
0.0 

14.7 
8.2 

29.0 



30.9 

32.7 
n/a 
17.1 
11.3 
34.0 



31.2 

40.0 
0.0 
15.4 
33.3 
50.8 



26.3 

27.3 
0.0 

15.6 
9.6 

27.7 



Colorado 

Connecticut 

Delaware 

District of Columbia 

Florida 



5.4 
22.2 
20.0 

0.0 
10.8 



16.2 
23.6 
37.5 
0.0 
25.8 



16.0 
30.8 

41.7 
66.7 
36.0 



28.6 
36.0 
n/a 
0.0 
36.4 



13.7 

28.7 
37.8 
10.0 
30.8 



Georgia 

Hawaii 

Idaho 

Illinois 

Indiana 



6.7 
26.7 
24.2 

9.7 
28.3 



39.3 
9.1 
64.0 
19.7 
36.6 



43.1 
9.1 
47.8 
20.5 
49.1 



34.4 
25.0 
100.0 
23.1 
50.0 



38.5 
17.1 
43.9 
19.3 
40.8 



Iowa 

Kansas 

Kentucky 

Louisiana 

Maine 



23.5 

37.8 

4.7 

1.7 

5.1 



39.1 

57.4 

8.9 

5.6 

6.1 



44.0 
70.1 
13.9 
13.7 
7.1 



63.6 
80.0 
42.9 
23.8 
33.3 



38.2 
55.1 
10.1 
10.9 
6.6 



Maryland 

Massachusetts 

Michigan 

Minnesota 

Mississippi 



0.0 
11.3 
22.2 
11.5 

4.8 



6.1 
28.2 
37.5 
25.8 
23.1 



8.3 
33.3 
56.6 
35.0 
46.7 



9.7 
47.6 
50.0 
26.9 
40.0 



6.6 
27.7 
46.8 
27.1 
28.5 



Missouri 

Montana 

Nebraska 

Nevada 

New Hampshire 



8.0 
21.4 
30.4 
30.0 

6.7 



25.3 
45.5 
36.2 
62.5 
38.5 



29.3 
52.4 
51.0 
75.0 
29.0 



25.0 
50.0 
80.0 
75.0 
0.0 



24.3 
36.7 
38.8 

54.2 
27.2 



New Jersey 
New Mexico 
New York 
North Carolina 
North Dakota 



14.3 

5.3 

13.3 

8.7 
30.4 



10.0 
6.9 
17.9 
34.5 
51.3 



18.9 
16.2 
18.7 
40.5 
66.7 



32.8 
0.0 
17.0 
50.0 
50.0 



19.6 
10.3 
17.6 
34.9 
50.0 



Ohio 

Oklahoma 
Oregon 
Pennsylvania 
Rhode Island 



19.3 
1.5 

13.5 
8.2 

15.8 



17.5 

9.2 

40.8 

22.2 

9.4 



33.8 
18.5 
45.8 
29.1 
12.2 



35.6 
14.3 
100.0 
34.7 
16.7 



27.2 
11.3 
36.9 
24.2 
12.2 



South Carolina 
South Dakota 
Tennessee 
Texas 
Utah 



25.0 

25.9 

9.6 

5.3 

14.8 



43.1 
19.7 
14.3 
18.3 
11.8 



55.2 
40.0 
16.1 
25.2 
30.0 



50.0 

0.0 

38.1 

23.9 

0.0 



43.8 
23.9 
15.9 
19.4 
18.3 



Vermont 

Virginia 

Washington 

West Virginia 

Wisconsin 

Wyoming 



Source: OSCAR 
n/a: Data unavailable 



28.6 
0.0 

39.5 
0.0 
9.5 

12.5 



0.0 

15.1 
51.8 
5.7 
15.2 
21.1 



22.2 
28.8 
57.3 
17.9 
23.2 
45.5 



n/a 
42.9 
70.0 

100.0 
23.2 

100.0 



18.6 
21.3 
53.0 
9.5 
18.5 
28.2 



197 



Health Deficiencies 
Immediate Jeopardy 



Table 38 (b). Nursing Home Surveys Resulting in a Health Deficiency of Actual Harm or 
Immediate Jeopardy to Residents by Bed Size Category: United States, 1997 

Percent by Number of Beds 



<50 



50-99 



100-199 



>199 



All Facilities 



Nation 

Alabama 

Alaska 

Arizona 

Arkansas 

California 



Colorado 

Connecticut 

Delaware 

District of Columbia 

Florida 



15.2 

27.3 

38.5 

9.5 

2.9 

16.2 



4.7 
31.3 

0.0 
20.0 
10.9 



26.9 

46.2 

100.0 

11.5 

9.1 

28.7 



33.1 

65.7 
n/a 
12.9 
14.9 
34.6 



13.8 
29.3 
25.0 
0.0 
29.9 



17.4 
49.7 
44.4 
28.6 
42.1 



32.8 

66.7 
100.0 
10.0 
28.6 
37.1 



28.6 
48.1 
0.0 
25.0 
38.7 



27.9 

56.0 
50.0 
11.8 
11.7 
27.5 



13.1 
42.4 
33.3 
19.2 
35.1 



Georgia 

Hawaii 

Idaho 

Illinois 

Indiana 



0.0 
14.3 
43.8 
14.3 
25.0 



14.3 
35.7 
60.0 

27.7 
40.8 



30.5 
40.0 
66.7 
29.4 
46.6 



36.0 
0.0 
n/a 
39.0 
36.8 



23.8 
26.2 
56.0 
28.6 
39.1 



Iowa 

Kansas 

Kentucky 

Louisiana 

Maine 



27.8 

50.4 

4.5 

0.0 

4.5 



38.4 
55.2 
18.3 
6.4 
11.8 



54.6 
75.6 
23.3 

17.7 
4.8 



77.8 
83.3 
60.0 

12.5 
0.0 



41.4 
58.1 
17.4 
12.4 
8.1 



Maryland 
Massachusetts 
Michigan 
Minnesota 
Mississippi 



6.8 

6.2 

36.2 

10.6 

8.7 



16.3 
23.4 
35.2 
17.4 
21.3 



27.3 
28.6 
46.2 
32.6 
35.0 



38.7 
42.9 
62.9 
18.5 
50.0 



23.0 
23.3 
43.4 
22.0 
24.3 



Missouri 

Montana 

Nebraska 

Nevada 

New Hampshire 



7.7 
38.1 
23.3 
22.2 

8.3 



20.2 
28.6 
29.0 
57.1 
24.4 



26.3 
44.0 
37.5 
73.3 
42.4 



35.7 
0.0 
20.0 
50.0 
20.0 



21.6 
35.6 
29.1 
47.6 
28.6 



New Jersey 
New Mexico 
New York 
North Carolina 
North Dakota 



0.0 
0.0 

13.6 
2.1 

35.0 



14.9 

6.5 

9.2 

26.0 

57.6 



17.1 
10.7 
21.7 
43.1 
85.7 



21.7 
0.0 
15.2 
66.7 
50.0 



16.0 
6.5 
16.7 
32.7 
59.2 



Ohio 

Oklahoma 
Oregon 
Pennsylvania 
Rhode Island 



1.3 

36.4 

13.8 

5.0 



27.7 
7.3 
45.5 
26.3 
11.8 



33.3 
11.8 
50.0 
32.7 
13.5 



38.7 

0.0 

0.0 

34.8 

33.3 



28.5 
7.7 
44.5 
27.5 
12.4 



South Carolina 
South Dakota 
Tennessee 
Texas 
Utah 



20.5 

45.5 

0.0 

7.5 

7.1 



31.3 

40.0 
11.4 
21.5 
11.8 



41.4 
33.3 
9.4 
27.8 
21.9 



0.0 

0.0 

21.1 

31.4 

0.0 



31.8 
40.0 
9.1 
22.4 
13.5 



Vermont 
Virginia 
Washington 
West Virginia 
Wisconsin 
Wyoming 



10.0 
2.8 

49.0 

10.0 
6.8 

22.2 



30.8 
16.0 
60.2 
8.1 
25.0 
43.8 



37.5 
37.6 
73.7 
14.8 
28.5 
45.5 



n/a 
20.0 
90.0 

66.7 

36.0 

100.0 



28.2 
24.0 
64.7 
12.6 
25.7 
40.5 



Source: OSCAR 
n/a: Data unavailable 



198 



Health Deficiencies 
Immediate Jeopardy 



i 



Table 38 (c). Nursing Home Surveys Resulting 
Immediate Jeopardy to Residents by Bed Size 



in a Health Deficiency of Actual Harm 
Category: United States, 1998 



or 



Percent by Number of Beds 



<50 



50-99 



100-199 



>199 



All Facilities 



Nation 

Alabama 

Alaska 

Arizona 

Arkansas 

California 



Colorado 

Connecticut 

Delaware 

District of Columbia 

Florida 



17.3 

42.9 
10.0 
7.4 
13.3 
18.1 



9.1 

26.7 

0.0 

0.0 

19.8 



29.2 

32.6 
50.0 
11.5 
12.6 
31.3 



13.2 
55.7 
28.6 
0.0 
32.6 



35.3 

47.0 
n/a 
39.1 
25.2 
39.9 



8.3 
58.4 
58.8 

40.0 
43.5 



36.2 

40.0 
100.0 
40.0 
14.3 
51.7 



22.2 
63.6 
100.0 
20.0 
50.0 



30.1 

41.0 
31.3 
27.3 
18.6 
31.4 



10.7 
56.1 
46.4 
17.6 
38.4 



Georgia 

Hawaii 

Idaho 

Illinois 

Indiana 



0.0 
23.5 
35.7 
13.7 
26.8 



17.1 
54.5 
65.4 
36.3 
47.3 



24.5 
16.7 
73.3 
36.6 
51.4 



23.1 
50.0 

n/a 
31.8 
61.8 



19.9 
31.8 
58.3 
32.6 
45.6 



Iowa 

Kansas 

Kentucky 

Louisiana 

Maine 



15.0 

41.8 

19.5 

3.6 

6.4 



34.3 
54.4 
31.1 

12.3 
7.7 



33.6 
65.3 
33.3 
16.3 
11.8 



44.4 
50.0 
66.7 
16.0 
50.0 



31.1 
52.8 
29.4 
13.8 
9.0 



Maryland 

Massachusetts 

Michigan 

Minnesota 

Mississippi 



4.8 

8.9 

37.8 

36.2 

14.3 



16.7 
32.5 
35.7 
25.6 
22.2 



25.5 
33.2 
52.5 
42.4 
28.0 



29.6 
47.6 
56.3 
64.0 
40.0 



20.0 
28.8 
45.9 
34.9 
22.9 



Missouri 

Montana 

Nebraska 

Nevada 

New Hampshire 



7.1 
36.8 
37.5 
16.7 
11.8 



24.3 
38.7 
32.1 
75.0 
23.5 



34.2 
52.2 
40.8 
50.0 
40.7 



37.0 
100.0 

75.0 
100.0 

20.0 



26.4 
42.6 
35.8 
45.8 
26.5 



New Jersey 
New Mexico 
New York 
North Carolina 
North Dakota 



4.4 

28.6 

9.8 

7.5 

40.7 



8.2 
14.3 
13.3 
26.4 
47.5 



19.1 
24.1 
22.6 
51.2 
60.9 



18.5 
50.0 
13.9 
70.0 
50.0 



15.2 
21.9 
17.0 
37.4 
48.9 



Ohio 

Oklahoma 
Oregon 
Pennsylvania 
Rhode Island 



18.9 

8.6 

42.9 

16.0 

5.6 



29.9 
11.6 
49.3 
22.9 
3.3 



36.8 
16.7 
56.6 
39.5 
18.6 



44.4 
20.0 
100.0 
43.9 
25.0 



32.7 
13.1 
50.9 
31.6 
12.1 



South Carolina 
South Dakota 
Tennessee 
Texas 
Utah 



13.9 
5.3 
3.4 
6.6 

12.5 



29.0 
49.1 
18.6 
21.5 
24.1 



29.9 
61.5 
16.6 
28.3 
41.9 



20.0 
0.0 
12.5 
34.0 
50.0 



25.9 
41.1 
14.7 
22.7 
26.6 



Vermont 

Virginia 

Washington 

West Virginia 

Wisconsin 

Wyoming 



20.0 
8.6 

34.6 

11.1 
5.0 

15.4 



21.4 
11.5 
66.7 

5.9 
18.0 

5.9 



14.3 
30.0 
71.6 
20.7 
21.2 
25.0 



n/a 

26.7 
62.5 

n/a 
41.5 

0.0 



18.4 
20.6 
62.5 
12.3 
20.8 
14.0 



Source: OSCAR 
n/a: Data unavailable 



199 



Health Deficiencies 
Immediate Jeopardy 



Table 38 (d). Nursing Home Surveys Resulting in a Health Deficiency of Actual Harm or 
Immediate Jeopardy to Residents by Bed Size Category: United States, 1999 

Percent by Number of Beds 



<50 



50-99 



100-199 



>199 



All Facilities 



Nation 

Alabama 

Alaska 

Arizona 

Arkansas 

California 



16.7 

12.5 
45.5 
7.7 
29.0 
15.7 



29.4 

33.3 
25.0 
30.0 
33.3 
32.9 



37.2 

55.0 
n/a 
47.9 
33.6 
38.0 



40.7 

50.0 
0.0 

66.7 
0.0 

50.0 



31.4 

43.4 
37.5 
39.1 
32.4 
31.3 



Colorado 

Connecticut 

Delaware 

District of Columbia 

Florida 



3.6 

15.4 

0.0 

0.0 

10.8 



9.4 
52.0 
50.0 

0.0 
25.0 



12.1 
66.2 
57.1 
0.0 
34.5 



37.5 

72.0 

100.0 

0.0 

35.1 



10.0 
59.9 
51.4 
0.0 
29.6 



Georgia 

Hawaii 

Idaho 

Illinois 

Indiana 



3.3 
11.8 
37.9 
15.9 
35.1 



23.9 
9.1 
69.2 
34.7 
48.0 



35.2 
33.3 
69.0 
36.5 
57.0 



44.0 
0.0 
n/a 

30.6 



29.6 
16.3 
58.3 
32.3 
49.5 



Iowa 

Kansas 

Kentucky 

Louisiana 

Maine 



13.8 
26.1 
16.5 
2.0 
21.7 



27.6 
45.2 
28.0 
14.5 
19.7 



25.2 
62.3 
37.1 
25.7 
16.7 



14.3 
71.4 
66.7 
44.4 
100.0 



24.4 
43.4 
28.7 
21.5 
20.6 



Maryland 

Massachusetts 

Michigan 

Minnesota 

Mississippi 



6.7 
11.1 
26.7 
26.9 
16.7 



12.5 
29.7 
41.0 
31.4 
23.7 



38.6 
39.9 
51.4 
39.5 
44.0 



47.4 
55.0 
48.6 
43.8 
66.7 



28.7 
32.8 
45.5 
34.2 
31.1 



Missouri 

Montana 

Nebraska 

Nevada 

New Hampshire 



7.4 
34.9 
31.7 
12.5 
23.1 



23.3 
54.5 
27.8 
0.0 
28.1 



33.6 
39.3 
33.3 
45.0 
52.6 



52.0 

100.0 

0.0 

40.0 

40.0 



26.6 
42.9 
29.7 
27.3 
34.8 



New Jersey 
New Mexico 
New York 
North Carolina 
North Dakota 



0.0 
15.4 
22.7 
11.9 
24.1 



17.0 
30.3 
19.6 
42.8 
40.0 



30.5 
31.3 
29.5 
55.4 
47.8 



35.8 
50.0 
27.5 
92.3 
100.0 



25.9 
28.8 
26.6 
47.6 
38.3 



Ohio 

Oklahoma 
Oregon 
Pennsylvania 
Rhode Island 



14.9 

4.2 

35.7 

17.6 

0.0 



25.0 
13.0 
62.9 
24.3 
11.8 



34.3 
19.9 
61.1 
38.2 
20.9 



52.5 
22.2 
100.0 
45.7 
40.0 



30.1 
14.6 
57.5 
32.3 
15.2 



South Carolina 
South Dakota 
Tennessee 
Texas 
Utah 



17.6 

25.0 

5.6 

6.5 

0.0 



23.9 
38.9 
23.2 
20.3 
22.2 



37.7 
60.0 
28.1 
30.7 
28.0 



66.7 
n/a 
45.5 
33.3 
n/a 



29.6 
37.5 
24.4 
24.0 
15.9 



Vermont 

Virginia 

Washington 

West Virginia 

Wisconsin 

Wyoming 



13.3 
8.1 

38.0 

20.7 
5.9 

23.1 



21.4 
16.8 
61.9 
22.6 
14.1 
28.6 



5.6 
25.4 
65.8 
39.6 
20.8 
41.7 



n/a 
12.5 
75.0 
50.0 
32.1 

0.0 



12.8 
19.4 
59.5 
28.4 
18.1 
30.0 



Source: OSCAR 
n/a: Data unavailable 



200 



Health Deficiencies 
Immediate Jeopardy 



Table 38 (e). Nursing Home Surveys Resulting 
Immediate Jeopardy to Residents by Bed Size 



in a Health Deficiency of Actual Harm 
Category: United States, 2000 



or 



Percent by Number of Beds 



<50 



50-99 



100-199 



>199 



All Facilities 



Nation 

Alabama 

Alaska 

Arizona 

Arkansas 

California 



13.9 

0.0 
0.0 
5.3 
39.3 
9.5 



22.7 

21.9 
0.0 
16.7 
22.6 
19.5 



31.1 

37.2 
n/a 
28.6 
41.3 
24.3 



30.7 

33.3 
0.0 

20.0 
0.0 

22.6 



25.5 

28.7 
0.0 
22.0 
33.7 
18.8 



Colorado 

Connecticut 

Delaware 

District of Columbia 

Florida 



13.7 

26.7 
0.0 
0.0 
9.9 



21.3 
29.9 
18.2 
0.0 
17.1 



30.2 
41.6 
48.1 
25.0 
19.0 



16.7 
56.5 
0.0 
33.3 
25.0 



22.9 
38.7 
34.1 
14.3 
18.0 



Georgia 

Hawaii 

Idaho 

Illinois 

Indiana 



4.2 
11.8 
35.5 
15.4 
26.6 



12.5 

11.1 
56.0 
24.9 
34.6 



24.7 
46.2 
41.7 
29.0 
47.8 



17.4 
0.0 
n/a 
21.0 
61.0 



18.8 
22.0 
43.8 
24.6 
40.0 



Iowa 

Kansas 

Kentucky 

Louisiana 

Maine 



6.3 

24.1 

13.0 

6.5 

4.9 



12.8 
37.3 
29.1 
26.0 
9.1 



15.5 
49.3 
30.2 
26.9 
17.6 



0.0 
57.1 
33.3 
37.5 
50.0 



12.0 
36.3 
25.6 
24.9 
9.5 



Maryland 

Massachusetts 

Michigan 

Minnesota 

Mississippi 



6.7 
13.8 
24.5 
14.3 
16.1 



15.4 
22.0 
30.8 
20.7 
18.4 



24.8 
32.5 
41.0 
29.7 
27.6 



22.9 
31.6 
32.5 
34.8 
33.3 



19.5 
26.4 
35.5 
23.5 
22.0 



Missouri 

Montana 

Nebraska 

Nevada 

New Hampshire 



5.3 
27.5 

5.7 
15.4 
33.3 



16.5 
39.3 
19.4 
41.7 
31.3 



20.1 
26.1 
30.8 
52.6 
43.3 



9.4 
50.0 

0.0 
25.0 
40.0 



16.1 
31.2 
17.7 
37.5 
36.7 



New Jersey 
New Mexico 
New York 
North Carolina 
North Dakota 



2.7 
7.7 

25.0 
5.8 

37.0 



12.7 
25.0 
29.8 
32.9 
22.2 



32.6 
21.9 
39.0 
43.2 
13.6 



30.4 

0.0 

35.7 

47.1 

0.0 



25.7 
20.5 
35.2 
35.3 

24.1 



Ohio 

Oklahoma 
Oregon 
Pennsylvania 
Rhode Island 



11.6 
15.4 
26.1 
16.1 
0.0 



26.5 
12.6 
35.5 
24.3 
6.9 



28.8 
28.2 
41.8 
29.2 
16.7 



30.3 
42.9 
50.0 
40.2 
0.0 



25.9 
19.5 
36.5 
27.1 
9.6 



South Carolina 
South Dakota 
Tennessee 
Texas 
Utah 



7.0 
11.1 

6.3 

14.4 
0.0 



12.5 
20.5 
21.5 
25.2 
18.8 



42.9 
35.7 
25.4 
37.7 
18.2 



16.7 

n/a 
44.4 
39.6 

0.0 



23.4 
19.5 
22.6 
30.8 
12.4 



Vermont 

Virginia 

Washington 

West Virginia 

Wisconsin 

Wyoming 



21.4 
2.6 

26.5 
3.0 
5.3 

54.5 



8.3 
10.8 
40.9 

8.8 
10.6 
43.8 



26.3 
23.0 
42.9 
21.4 
18.4 
57.1 



n/a 
20.0 
14.3 

0.0 
25.0 

0.0 



20.0 
16.4 
38.4 
12.0 
14.6 
50.0 



Source: OSCAR 
n/a: Data unavailable 



201 



Health Deficiencies 
Immediate Jeopardy 



Table 38 (f).Nursing 
Immediate Jeopardy 



Home Surveys Resulting 
to Residents by Bed Size 



in Health Deficiency of Actual Harm 
Category: United States, 2001 



or 



Percent by Number of Beds 



<50 



50-99 



100-199 



>199 



All Facilities 



Nation 

Alabama 

Alaska 

Arizona 

Arkansas 

California 



10.1 

0.0 
20.0 

0.0 
21.7 

0.9 



19.5 

14.5 
40.0 
3.6 
25.8 
10.5 



25.6 

19.8 
n/a 
11.7 
27.5 
13.4 



28.7 

38.5 
100.0 
20.0 
50.0 
16.7 



21.3 

18.0 
35.3 

9.7 
26.6 

9.6 



Colorado 

Connecticut 

Delaware 

District of Columbia 

Florida 



10.9 

15.4 

0.0 

0.0 

10.7 



22.8 
40.8 
30.0 
42.9 
16.5 



37.2 
53.7 
12.0 
33.3 
24.8 



20.0 
81.0 
0.0 
16.7 
23.7 



25.9 
50.2 
15.0 
28.6 
21.6 



Georgia 

Hawaii 

Idaho 

Illinois 

Indiana 



14.8 
0.0 

13.8 
5.9 

14.7 



13.5 

27.3 
30.4 
20.0 
24.9 



22.9 
10.0 
46.2 
23.7 
31.1 



31.8 
0.0 
n/a 
14.5 
33.3 



19.8 
11.4 
29.5 
18.9 
25.9 



Iowa 

Kansas 

Kentucky 

Louisiana 

Maine 



9.1 
24.3 
18.2 

5.6 
11.9 



12.8 
31.3 
31.5 
26.2 
10.0 



14.1 
32.1 
28.7 
27.7 
7.7 



0.0 

100.0 

60.0 

35.0 

50.0 



12.1 
30.4 
27.9 
25.4 
11.1 



Maryland 

Massachusetts 

Michigan 

Minnesota 

Mississippi 



3.6 

6.0 

20.0 

14.0 

3.3 



3.8 
17.9 
24.5 
13.5 
18.6 



25.3 
28.4 
23.6 
24.0 
28.6 



6.7 
29.4 
22.9 
26.1 
50.0 



15.3 

21.9 
23.4 
17.5 
20.5 



Missouri 

Montana 

Nebraska 

Nevada 

New Hampshire 



2.1 
21.6 
16.7 

0.0 
15.4 



10.4 
26.1 
21.4 
0.0 
37.9 



13.7 
26.9 
16.2 
13.6 
23.3 



22.2 

0.0 

100.0 

16.7 

33.3 



11.4 
23.9 
19.9 
8.0 
28.0 



New Jersey 
New Mexico 
New York 
North Carolina 
North Dakota 



10.5 
0.0 
18.2 
11.8 
15.4 



24.1 
34.3 
17.4 
34.1 



27.7 
21.4 
34.1 
41.9 
30.4 



36.4 

0.0 

42.1 

60.0 



23.8 
18.1 
35.6 
31.1 
28.0 



Ohio 

Oklahoma 
Oregon 
Pennsylvania 
Rhode Island 



South Carolina 
South Dakota 
Tennessee 
Texas 
Utah 



13.0 

3.2 

15.0 



2.7 
25.0 

8.8 
10.3 

6.7 



19.7 
25.2 
31.1 
13.4 
21.9 



19.1 
35.2 
14.2 
23.9 
14.3 



24.6 
23.1 
41.3 
19.1 
7.9 



29.7 
0.0 
0.0 

18.7 
0.0 



19.4 
28.6 
21.4 
30.3 
21.2 



16.7 
n/a 
19.0 
38.2 
33.3 



20.7 
21.4 
31.1 
15.1 
13.7 
15.1 
30.8 
17.3 
26.2 
14.9 



Vermont 

Virginia 

Washington 

West Virginia 

Wisconsin 

Wyoming 



0.0 
9.1 
23.9 
4.5 
5.7 
8.3 



33.3 

10.2 
38.2 
14.3 
13.0 
23.1 



22.2 
12.4 
47.6 
25.6 
13.5 
30.8 



n/a 
16.7 
33.3 
0.0 
11.1 
n/a 



19.0 
11.5 
39.4 
16.2 
12.4 
21.1 



Source: OSCAR 
n/a: Data unavailable 



202 



Health Deficiencies 
Immediate Jeopardy 



Table 39 (a). Nursing Home Surveys 
Immediate Jeopardy to Residents by 



Resulting in a Health Deficiency of Actual Harm or 
Type of Ownership: United States, 1996 



Percent by Ownership 



For-Profit 



Non-Profit 



Government 



All Facilities 



Nation 

Alabama 

Alaska 

Arizona 

Arkansas 

California 



28.3 

27.0 
0.0 
17.0 
11.1 
29.7 



22.4 

29.0 
0.0 

12.7 
4.5 

22.4 



22.9 

27.3 
0.0 

25.0 
0.0 

19.3 



26.3 

27.3 
0.0 

15.6 
9.6 

27.7 



Colorado 

Connecticut 

Delaware 

District of Columbia 

Florida 



16.7 
31.5 
40.0 
16.7 
31.9 



3.4 
17.0 
35.7 

7.7 
26.4 



23.8 
50.0 
33.3 
0.0 
33.3 



13.7 

28.7 
37.8 
10.0 
30.8 



Georgia 

Hawaii 

Idaho 

Illinois 

Indiana 



Iowa 

Kansas 

Kentucky 

Louisiana 

Maine 



39.3 
6.3 
53.1 
20.1 
45.3 



44.8 
59.5 
12.1 
10.9 
7.1 



42.5 
14.3 
23.1 
18.1 
27.3 



30.5 
52.6 

6.1 
10.3 

6.3 



18.5 
36.4 
35.0 
16.4 
33.3 



25.0 
41.7 

9.1 
12.0 

0.0 



38.5 
17.1 
43.9 
19.3 
40.8 



38.2 
55.1 
10.1 
10.9 
6.6 



Maryland 

Massachusetts 

Michigan 

Minnesota 

Mississippi 



8.3 
29.7 
50.5 
29.7 
35.3 



4.5 
23.3 
42.9 
26.7 

6.7 



0.0 

7.1 

33.3 

22.2 

19.4 



6.6 
27.7 
46.8 
27.1 
28.5 



Missouri 

Montana 

Nebraska 

Nevada 

New Hampshire 



29.3 
44.7 
41.7 
57.1 
37.5 



15.9 
28.6 
38.6 
42.9 
16.7 



12.0 
38.9 
33.9 
50.0 
14.3 



24.3 
36.7 
38.8 
54.2 
27.2 



New Jersey 
New Mexico 
New York 
North Carolina 
North Dakota 



20.6 
15.4 
15.7 
38.6 
50.0 



16.5 
3.7 
19.6 
24.1 
50.0 



23.1 

0.0 
17.6 
25.0 
50.0 



19.6 
10.3 

17.6 
34.9 
50.0 



Ohio 

Oklahoma 
Oregon 
Pennsylvania 
Rhode Island 



28.1 
13.3 
41.4 
28.4 
13.9 



23.4 

3.4 

26.5 

20.5 

7.7 



31.7 

0.0 

0.0 

26.5 

n/a 



27.2 
11.3 

36.9 
24.2 
12.2 



South Carolina 
South Dakota 
Tennessee 
Texas 
Utah 



47.2 
26.3 
17.3 
21.5 
19.2 



29.0 
22.7 
13.9 
9.2 
18.8 



45.0 

20.0 

10.3 

8.1 

0.0 



43.8 
23.9 
15.9 
19.4 
18.3 



Vermont 

Virginia 

Washington 

West Virginia 

Wisconsin 

Wyoming 



18.2 
23.4 
53.2 
10.1 
16.9 
31.6 



12.5 
12.9 
54.8 
4.0 
22.5 
16.7 



50.0 
50.0 
45.5 
16.7 
13.6 
28.6 



18.6 
21.3 
53.0 
9.5 
18.5 
28.2 



Source: OSCAR 
n/a: Data unavailable 



203 



Health Deficiencies 
Immediate Jeopardy 



Table 39 (b). Nursing Home Surveys 
Immediate Jeopardy to Residents by 



Resulting in a Health Deficiency of Actual Harm or 
Type of Ownership: United States, 1997 



Percent by Ownership 



For- Profit 



Non-Profit 



Government 



All Facilities 



Nation 

Alabama 

Alaska 

Arizona 

Arkansas 

California 



30.3 

56.5 
0.0 
15.6 
13.8 
30.3 



22.6 

53.6 

62.5 

4.9 

2.3 

17.7 



26.1 

55.6 

42.9 

0.0 

6.7 

29.3 



27.9 

56.0 
50.0 
11.8 
11.7 

27.5 



Colorado 

Connecticut 

Delaware 

District of Columbia 

Florida 



17.0 
45.1 
30.0 
20.0 
38.1 



6.0 
32.8 
38.1 
15.4 
24.3 



8.7 
50.0 
25.0 
33.3 
27.3 



13.1 
42.4 
33.3 
19.2 
35.1 



Georgia 

Hawaii 

Idaho 

Illinois 

Indiana 



Iowa 

Kansas 

Kentucky 

Louisiana 

Maine 



24.6 
27.8 
57.7 
31.7 
42.7 



48.2 
65.2 
21.3 
13.3 
10.1 



20.3 
7.1 
23.1 
22.8 
27.3 



34.1 
49.7 
10.5 
11.3 
3.1 



23.8 
50.0 
73.7 
23.9 
37.5 



26.1 

47.3 

10.0 

6.9 

0.0 



23.8 
26.2 
56.0 
28.6 
39.1 



41.4 
58.1 
17.4 
12.4 
8.1 



Maryland 

Massachusetts 

Michigan 

Minnesota 

Mississippi 



24.1 
25.8 
45.3 
29.0 
26.9 



22.1 
17.1 
42.9 
18.5 
22.9 



14.3 
13.3 
31.7 
21.0 
13.3 



23.0 
23.3 
43.4 
22.0 
24.3 



Missouri 

Montana 

Nebraska 

Nevada 

New Hampshire 



27.3 
34.2 
29.4 
54.8 
26.5 



11.9 
34.8 
23.8 
66.7 
27.6 



4.2 
40.0 
36.4 
12.5 
38.5 



21.6 
35.6 
29.1 
47.6 
28.6 



New Jersey 
New Mexico 
New York 
North Carolina 
North Dakota 



18.1 
4.7 
16.2 
38.6 
77.8 



11.2 
7.4 
16.0 
15.1 
56.9 



17.6 
14.3 
21.8 
16.7 
50.0 



16.0 
6.5 
16.7 
32.7 
59.2 



Ohio 

Oklahoma 
Oregon 
Pennsylvania 
Rhode Island 



28.9 
8.0 
45.8 
37.5 
15.3 



26.9 

8.9 

37.5 

19.0 

4.0 



30.0 
0.0 
60.0 
37.8 
n/a 



28.5 
7.7 
44.5 
27.5 
12.4 



South Carolina 
South Dakota 
Tennessee 
Texas 
Utah 



33.3 

28.9 

9.6 

24.8 

13.9 



39.1 

47.6 
6.0 

11.0 
7.7 



14.3 
25.0 
14.8 
15.8 
25.0 



31.8 
40.0 
9.1 
22.4 
13.5 



Vermont 

Virginia 

Washington 

West Virginia 

Wisconsin 

Wyoming 



31.0 
29.1 
68.7 
16.7 
23.5 
35.3 



20.0 
10.0 
57.7 
4.0 
30.6 
33.3 



n/a 
62.5 
52.2 
12.5 
19.4 
50.0 



28.2 
24.0 
64.7 
12.6 
25.7 
40.5 



Source: OSCAR 
n/a: Data unavailable 



204 



Health Deficiencies 
Immediate Jeopardy 



p 

t 



Table 39 (c). Nursing Home Surveys 
Immediate Jeopardy to Residents by 



Resulting in a Health Deficiency of Actual Harm or 
Type of Ownership: United States, 1998 



Percent by Ownership 



For-Profit 



Non-Profit 



Government 



All Facilities 



Nation 

Alabama 

Alaska 

Arizona 

Arkansas 

California 



32.4 

42.0 
0.0 
33.3 
20.3 
35.1 



25.5 

29.0 
50.0 
15.6 
11.9 
18.0 



27.6 

50.0 
0.0 
33.3 
14.3 
34.8 



30.1 

41.0 
31.3 
27.3 
18.6 
31.4 



Colorado 

Connecticut 

Delaware 

District of Columbia 

Florida 



13.6 
56.3 
54.5 
25.0 
40.1 



3.3 
54.0 
38.5 

9.1 
32.2 



13.0 
100.0 
50.0 
50.0 
35.7 



10.7 
56.1 
46.4 
17.6 
38.4 



Georgia 

Hawaii 

Idaho 

Illinois 

Indiana 



22.0 
36.8 
62.7 
35.7 
48.6 



17.6 

21.4 
42.9 
24.8 



3.8 
36.4 
57.9 
40.8 
20.0 



19.9 
31.8 
58.3 
32.6 
45.6 



Iowa 

Kansas 

Kentucky 

Louisiana 

Maine 



32.3 

58.7 

30.0 

15.6 

9.2 



31.2 
48.6 

25.9 
10.5 
10.0 



14.3 

40.9 

55.6 

3.8 

0.0 



31.1 

52.8 

29.4 

13.8 

9.0 



Maryland 

Massachusetts 

Michigan 

Minnesota 

Mississippi 



23.9 
30.7 
49.2 
31.2 
21.8 



15.5 
26.1 
44.1 
37.5 
19.4 



7.7 
31.0 
32.7 
31.3 



20.0 
28.8 
45.9 
34.9 
22.9 



Missouri 

Montana 

Nebraska 

Nevada 

New Hampshire 



30.7 
50.0 
39.3 
47.4 
30.4 



20.9 
38.6 
28.4 
33.3 
16.7 



13.2 
37.5 
38.9 
42.9 
30.8 



26.4 
42.6 
35.8 
45.8 
26.5 



New Jersey 
New Mexico 
New York 
North Carolina 
North Dakota 



17.4 
14.9 
14.3 
44.7 
50.0 



11.8 

28.6 
17.4 
19.4 



11.8 

60.0 

30.0 

6.7 

50.0 



15.2 
21.9 
17.0 
37.4 
48.9 



Ohio 

Oklahoma 
Oregon 
Pennsylvania 
Rhode Island 



South Carolina 
South Dakota 
Tennessee 
Texas 
Utah 



33.8 
13.4 
52.5 
39.8 
15.4 



27.6 
32.3 

14.4 
25.5 
28.4 



29.6 
17.0 
47.2 
23.3 
0.0 



25.0 
46.3 
13.4 
12.3 
18.8 



32.1 

0.0 
40.0 
48.9 

n/a 



15.8 
40.0 
20.0 
4.9 
25.0 



32.7 
13.1 
50.9 
31.6 
12.1 



25.9 
41.1 
14.7 
22.7 
26.6 



Vermont 

Virginia 

Washington 

West Virginia 

Wisconsin 

Wyoming 



20.0 
22.6 
68.6 
13.0 
27.0 
10.5 



16.7 

14.6 
48.5 
9.5 
15.5 
16.7 



0.0 
40.0 
52.4 
16.7 
13.1 
16.7 



18.4 
20.6 
62.5 
12.3 
20.8 
14.0 



Source: OSCAR 
n/a: Data unavailable 



205 



Health Deficiencies 
Immediate Jeopardy 



Table 39 (d). Nursing Home Surveys 
Immediate Jeopardy to Residents by 



Resulting in a Health Deficiency of Actual Harm or 
Type of Ownership: United States, 1999 



Percent by Ownership 



For-Profit 



IMon-Profit 



Government 



Ail Facilities 



Nation 

Alabama 

Alaska 

Arizona 

Arkansas 

California 



34.3 

47.1 
100.0 
47.4 
33.9 
34.7 



29.4 

33.3 
25.0 
30.0 
33.3 
32.9 



25.9 

38.1 
20.0 
66.7 
15.4 
32.6 



31.4 

43.4 
37.5 
39.1 
32.4 
31.3 



Colorado 

Connecticut 

Delaware 

District of Columbia 

Florida 



11.7 
61.3 
50.0 
0.0 
31.7 



52.0 

50.0 

0.0 

25.0 



4.0 
50.0 
33.3 

0.0 
15.4 



10.0 
59.9 
51.4 
0.0 
29.6 



Georgia 

Hawaii 

Idaho 

Illinois 

Indiana 



30.9 
9.5 
61.5 
34.6 
55.8 



23.9 
9.1 
69.2 
34.7 
48.0 



16.0 
27.3 
63.2 
31.1 
17.6 



29.6 
16.3 
58.3 
32.3 
49.5 



Iowa 

Kansas 

Kentucky 

Louisiana 

Maine 



29.4 
54.3 
32.0 
23.3 
23.9 



27.6 
45.2 
28.0 
14.5 
19.7 



4.5 
20.0 
40.0 
18.5 
16.7 



24.4 
43.4 
28.7 
21.5 
20.6 



Maryland 

Massachusetts 

Michigan 

Minnesota 

Mississippi 



38.5 
36.9 
48.6 
30.4 
33.3 



12.5 
29.7 
41.0 
31.4 
23.7 



33.3 

0.0 
30.8 
31.0 
23.1 



28.7 
32.8 
45.5 
34.2 
31.1 



Missouri 

Montana 

Nebraska 

Nevada 

New Hampshire 



31.7 
56.8 

32.1 
32.3 
47.2 



23.3 
54.5 
27.8 
0.0 
28.1 



12.2 

47.4 
26.5 
40.0 
40.0 



26.6 
42.9 
29.7 
27.3 
34.8 



New Jersey 
New Mexico 
New York 
North Carolina 
North Dakota 



27.1 
35.4 
25.2 
51.9 
33.3 



17.0 
30.3 
19.6 
42.8 
40.0 



38.9 
20.0 
37.0 
35.3 
25.0 



25.9 
28.8 
26.6 
47.6 
38.3 



Ohio 

Oklahoma 
Oregon 
Pennsylvania 
Rhode Island 



30.7 
15.9 
63.0 
37.9 
18.9 



25.0 
13.0 
62.9 
24.3 
11.8 



30.0 
11.8 
50.0 
33.3 
n/a 



30.1 
14.6 
57.5 
32.3 
15.2 



South Carolina 
South Dakota 
Tennessee 
Texas 
Utah 



31.9 

36.4 
25.6 
25.8 
17.7 



23.9 
38.9 
23.2 
20.3 
22.2 



29.4 

16.7 

34.3 

7.5 

0.0 



29.6 
37.5 
24.4 
24.0 
15.9 



Vermont 

Virginia 

Washington 

West Virginia 

Wisconsin 

Wyoming 



Source: OSCAR 
n/a: Data unavailable 



10.0 
24.7 
64.7 
36.3 
19.3 
33.3 



21.4 
16.8 
61.9 
22.6 
14.1 
28.6 



50.0 
18.2 
43.5 
13.3 
17.5 
29.4 



12.8 
19.4 
59.5 
28.4 
18.1 
30.0 



206 



Health Deficiencies 
Immediate Jeopardy 



Table 39 (e). Nursing Home Surveys 
Immediate Jeopardy to Residents by 



Resulting in a Health Deficiency of Actual Harm or 
Type of OwnershiprUnited States, 2000 



Percent by Ownership 



For-Profit 



Non-Profit 



Government 



All Facilities 



Nation 

Alabama 

Alaska 

Arizona 

Arkansas 

California 



27.5 

26.2 
n/a 
24.7 
35.3 
19.2 



21.3 

25.0 
0.0 
15.9 
31.0 
15.8 



23.5 

52.6 
0.0 
25.0 
15.4 
25.0 



25.5 

28.7 
0.0 
22.0 
33.7 
18.8 



Colorado 

Connecticut 

Delaware 

District of Columbia 

Florida 



26.8 
38.5 
45.0 
33.3 
19.7 



20.7 
40.7 
26.3 
7.7 
11.7 



4.5 
0.0 

20.0 
0.0 

21.4 



22.9 
38.7 
34.1 
14.3 
18.0 



Georgia 

Hawaii 

Idaho 

Illinois 

Indiana 



21.3 

17.6 
37.0 
27.2 
46.9 



10.9 
26.7 
60.0 
19.8 
21.9 



11.1 
22.2 
47.4 
17.1 
21.4 



18.8 
22.0 
43.8 
24.6 
40.0 



Iowa 

Kansas 

Kentucky 

Louisiana 

Maine 



13.5 
45.3 
28.3 
26.6 
7.4 



10.9 
27.9 
21.5 
23.7 
14.3 



5.3 
23.1 
12.5 

4.5 
25.0 



12.0 
36.3 
25.6 
24.9 
9.5 



Maryland 

Massachusetts 

Michigan 

Minnesota 

Mississippi 



21.9 
29.6 
37.6 
21.7 
20.5 



13.9 
17.7 
34.4 
24.4 
16.7 



44.4 
35.7 
23.8 
23.4 
37.5 



19.5 
26.4 
35.5 
23.5 
22.0 



Missouri 

Montana 

Nebraska 

Nevada 

New Hampshire 



17.5 
25.7 
19.0 
47.1 
40.0 



11.3 
34.9 
18.3 
12.5 
37.0 



20.0 
33.3 
14.0 
16.7 
25.0 



16.1 
31.2 
17.7 
37.5 
36.7 



New Jersey 
New Mexico 
New York 
North Carolina 
North Dakota 



31.0 
26.5 
30.1 
40.2 
16.7 



15.5 
9.1 
37.6 
25.3 
25.0 



26.7 
14.3 
51.0 
5.3 
33.3 



25.7 
20.5 
35.2 
35.3 
24.1 



Ohio 

Oklahoma 
Oregon 
Pennsylvania 
Rhode Island 



26.0 
21.4 
38.5 
31.5 
9.2 



24.6 
6.8 
33.3 
22.8 
11.1 



31.3 

21.4 
16.7 
34.1 
n/a 



25.9 
19.5 
36.5 
27.1 
9.6 



South Carolina 
South Dakota 
Tennessee 
Texas 
Utah 



27.3 
21.7 
24.8 
31.5 
13.0 



16.0 
19.7 
12.9 
29.0 
0.0 



9.1 

0.0 

28.1 

20.0 

50.0 



23.4 
19.5 
22.6 
30.8 
12.4 



Vermont 

Virginia 

Washington 

West Virginia 

Wisconsin 

Wyoming 



17.2 
21.2 
42.2 
15.4 
18.2 
50.0 



26.7 
7.5 

25.4 
7.9 

10.2 

66.7 



0.0 
12.5 
42.9 

0.0 
13.8 
42.9 



20.0 
16.4 
38.4 
12.0 
14.6 
50.0 



Source: OSCAR 
n/a: Data unavailable 



207 



Health Deficiencies 
Immediate Jeopardy 



Table 39 (f). Nursing 
Immediate Jeopardy 



Home Surveys Resulting in a Health Deficiency of Actual Harm or 
to Residents by Type of Ownership: United States, 2001 



Percent by Ownership 



For-Profit 



Non-Profit 



Government 



All Facilities 



Nation 

Alabama 

Alaska 

Arizona 

Arkansas 

California 



23.2 

20.6 

0.0 

9.5 

25.3 

10.8 



18.5 

11.1 
50.0 
10.8 
31.7 
6.2 



14.7 

5.3 

20.0 

0.0 

33.3 

4.4 



21.3 

18.0 
35.3 

9.7 
26.6 

9.6 



Colorado 

Connecticut 

Delaware 

District of Columbia 

Florida 



30.8 
51.4 
15.8 
33.3 
23.9 



15.4 
46.4 
11.1 
30.8 
14.2 



19.0 
50.0 
33.3 
0.0 
23.1 



25.9 
50.2 
15.0 
28.6 
21.6 



Georgia 

Hawaii 

Idaho 

Illinois 

Indiana 



21.5 
25.0 
26.7 
23.3 
29.0 



17.2 
0.0 

42.9 
8.2 

19.6 



8.0 

0.0 

26.3 

20.0 

12.5 



19.8 
11.4 
29.5 
18.9 
25.9 



Iowa 

Kansas 

Kentucky 

Louisiana 

Maine 



12.1 
34.6 
31.2 
25.3 
10.8 



12 2 
30.1 
21.3 
32.8 
7.1 



12.5 
17.0 
25.0 
4.8 
33.3 



12.1 
30.4 
27.9 
25.4 
11.1 



Maryland 

Massachusetts 

Michigan 

Minnesota 

Mississippi 



18.8 
23.7 
27.6 
17.0 
20.0 



10.3 
18.5 
18.3 
19.1 
22.2 



16.7 
8.3 
12.5 
11.9 
21.4 



15.3 
21.9 
23.4 
17.5 
20.5 



Missouri 

Montana 

Nebraska 

Nevada 

New Hampshire 



12.9 
25.0 
20.6 
10.8 
30.0 



10.2 
26.8 
20.0 
0.0 
21.7 



0.0 
15.8 
17.9 

0.0 
33.3 



11.4 
23.9 
19.9 
8.0 
28.0 



New Jersey 
New Mexico 
New York 
North Carolina 
North Dakota 



25.9 
23.4 
37.7 
36.7 
33.3 



19.4 
10.0 
35.5 
16.5 
28.8 



26.3 

0.0 

24.5 

17.4 

0.0 



23.8 
18.1 
35.6 
31.1 
28.0 



Ohio 

Oklahoma 
Oregon 
Pennsylvania 
Rhode Island 



21.0 
24.1 
36.3 
17.2 
12.5 



20.9 
4.8 
20.0 
13.8 
17.4 



13.3 
8.3 
16.7 
10.3 
n/a 



20.7 
21.4 
31.1 
15.1 
13.7 



South Carolina 
South Dakota 
Tennessee 
Texas 
Utah 



15.7 
20.6 
16.4 
28.2 
15.8 



14.3 
35.9 
18.6 
17.3 
11.8 



13.0 
33.3 
20.7 
18.4 
0.0 



15.1 
30.8 
17.3 
26.2 
14.9 



Vermont 

Virginia 

Washington 

West Virginia 

Wisconsin 

Wyoming 



21.4 
11.7 
44.6 
17.8 
12.8 
35.7 



15.4 
11.4 
33.3 
10.7 
14.3 
20.0 



0.0 
11.1 
18.5 
20.0 

6.5 
10.5 



19.0 
11.5 
39.4 
16.2 
12.4 
21.1 



Source: OSCAR 
n/a: Data unavailable 



208 



Health Deficiencies 
Immediate Jeopardy 



I 




Table 40 (a). Nursing Home Surveys Resulting in a Health Deficiency of Immediate 
Jeopardy to Residents by Bed Size Category: United States, 1996 







Percent by Number of Beds 








<50 


50-99 


100-199 


>199 


All Facilities 


Nation 


0.3 


0.6 


0.6 


0.6 


0.6 


Alabama 


5.9 


0.0 


0.0 


0.0 


0.5 


Alaska 


0.0 


0.0 


n/a 


0.0 


0.0 


Arizona 


0.0 


0.0 


0.0 


0.0 


0.0 


Arkansas 


3.0 


0.0 


0.0 


0.0 


0.3 


California 


0.3 


1.0 


1.9 


1.6 


1.1 


Colorado 


0.0 


0.0 


0.0 


0.0 


0.0 


Connecticut 


0.0 


0.0 


0.0 


0.0 


0.0 


Delaware 


0.0 


0.0 


0.0 


n/a 


0.0 


District of Columbia 


0.0 


0.0 


0.0 


0.0 


0.0 


Florida 


1.2 


0.0 


0.5 


0.0 


0.5 


Georgia 


0.0 


0.0 


0.5 


0.0 


0.2 


Hawaii 


0.0 


0.0 


0.0 


0.0 


0.0 


Idaho 


0.0 


0.0 


0.0 


0.0 


0.0 


Illinois 


0.0 


0.7 


0.6 


0.6 


0.6 


Indiana 


0.0 


0.0 


1.4 


0.0 


0.5 


Iowa 


0.0 


0.0 


0.0 


0.0 


0.0 


Kansas 


0.0 


1.1 


2.3 


0.0 


1.0 


Kentucky 


1.2 


0.0 


2.0 


28.6 


1.6 


Louisiana 


0.0 


0.0 


0.0 


0.0 


0.0 


Maine 


0.0 


0.0 


0.0 


0.0 


0.0 


Maryland 


0.0 


0.0 


0.0 


0.0 


0.0 


Massachusetts 


0.0 


0.0 


0.0 


0.0 


0.0 


Michigan 


0.0 


0.7 


0.4 


2.3 


0.7 


Minnesota 


0.0 


0.0 


0.0 


0.0 


0.0 


Mississippi 


0.0 


1.3 


1.3 


0.0 


1.0 


Missouri 


0.0 


1.7 


0.9 


3.6 


1.2 


Montana 


0.0 


3.0 


0.0 


0.0 


1.0 


Nebraska 


1.8 


0.7 


2.0 


0.0 


1.2 


Nevada 


0.0 


0.0 


0.0 


0.0 


0.0 


New Hampshire 


0.0 


7.7 


0.0 


0.0 


3.3 


New Jersey 


0.0 


0.0 


0.0 


0.0 


0.0 


New Mexico 


0.0 


0.0 


0.0 


0.0 


0.0 


New York 


0.0 


0.0 


0.0 


0.0 


0.0 


North Carolina 


0.0 


0.7 


1.0 


0.0 


0.8 


North Dakota 


0.0 


0.0 


0.0 


0.0 


0.0 


Ohio 


1.2 


0.0 


1.3 


0.0 


0.8 


Oklahoma 


0.0 


0.0 


0.0 


0.0 


0.0 


Oregon 


2.7 


5.6 


0.0 


0.0 


3.0 


Pennsylvania 


0.0 


0.0 


0.5 


1.0 


0.4 


Rhode Island 


0.0 


0.0 


0.0 


0.0 


0.0 


South Carolina 


0.0 


3.1 


0.0 


0.0 


1.1 


South Dakota 


0.0 


0.0 


0.0 


0.0 


0.0 


Tennessee 


0.0 


3.1 


0.0 


4.8 


1.2 


Texas 


0.0 


0.5 


0.6 


0.0 


0.4 


Utah 


0.0 


0.0 


0.0 


0.0 


0.0 


Vermont 


7.1 


0.0 


0.0 


n/a 


2.3 


Virginia 


0.0 


1.2 


0.0 


0.0 


0.4 


Washington 


0.0 


0.0 


1.6 


0.0 


0.7 


West Virginia 


0.0 


0.0 


0.0 


0.0 


0.0 


Wisconsin 


0.0 


0.5 


1.2 


0.0 


0.7 


Wyoming 


0.0 


0.0 


0.0 


0.0 


0.0 



Source: OSCAR 
n/a: Data unavailable 



209 



Health Deficiencies Immediate 
Jeopardy by Bed Size 



Table 40 (b). Nursing Home Surveys Resulting in a Health Deficiency of Immediate 
Jeopardy to Residents by Bed Size Category: United States, 1997 







Percent by Number of Beds 








<50 


50-99 


100-199 


>199 


All Facilities 


Nation 


0.5 


1.3 


1.2 


0.9 


1.1 


Alabama 


0.0 


0.0 


0.0 


0.0 


0.0 


Alaska 


0.0 


0.0 


n/a 


0.0 


0.0 


Arizona 


0.0 


0.0 


3.2 


0.0 


1.7 


Arkansas 


0.0 


0.0 


0.0 


0.0 


0.0 


California 


2.3 


3.3 


5.0 


4.8 


3.5 


Colorado 


0.0 


0.0 


0.0 


0.0 


0.0 


Connecticut 


0.0 


0.0 


0.0 


0.0 


0.0 


Delaware 


0.0 


0.0 


0.0 


0.0 


0.0 


District of Columbia 


0.0 


0.0 


0.0 


0.0 


0.0 


Florida 


0.0 


0.7 


0.2 


0.0 


0.3 


Georgia 


0.0 


0.0 


0.0 


0.0 


0.0 


Hawaii 


0.0 


0.0 


0.0 


0.0 


0.0 


Idaho 


3.1 


4.0 


0.0 


n/a 


2.4 


Illinois 


0.9 


2.1 


2.1 


1.3 


1.8 


Indiana 


0.0 


0.0 


0.5 


1.8 


0.3 


Iowa 


0.0 


0.4 


0.0 


0.0 


0.2 


Kansas 


1.7 


3.8 


8.9 


0.0 


4.2 


Kentucky 


0.0 


2.9 


1.1 


20.0 


1.9 


Louisiana 


0.0 


1.3 


0.9 


0.0 


0.8 


Maine 


0.0 


1.5 


0.0 


0.0 


0.7 


Maryland 


0.0 


0.0 


0.0 


0.0 


0.0 


Massachusetts 


0.0 


0.6 


0.7 


0.0 


0.5 


Michigan 


2.1 


0.0 


1.8 


0.0 


1.2 


Minnesota 


0.0 


0.0 


0.7 


0.0 


0.2 


Mississippi 


0.0 


0.0 


0.0 


0.0 


0.0 


Missouri 


0.0 


1.8 


0.0 


3.6 


0.8 


Montana 


0.0 


0.0 


0.0 


0.0 


0.0 


Nebraska 


1.7 


0.0 


0.0 


0.0 


0.4 


Nevada 


0.0 


0.0 


0.0 


0.0 


0.0 


New Hampshire 


0.0 


0.0 


0.0 


0.0 


0.0 


New Jersey 


0.0 


0.0 


0.0 


0.0 


0.0 


New Mexico 


0.0 


3.2 


0.0 


0.0 


1.3 


New York 


0.0 


0.0 


0.0 


0.0 


0.0 


North Carolina 


0.0 


0.0 


0.0 


0.0 


0.0 


North Dakota 


0.0 


0.0 


0.0 


0.0 


0.0 


Ohio 


0.7 


3.6 


3.2 


1.3 


2.8 


Oklahoma 


0.0 


0.0 


0.0 


0.0 


0.0 


Oregon 


3.0 


4.5 


3.7 


0.0 


3.9 


Pennsylvania 


0.0 


0.6 


0.0 


0.0 


0.1 


Rhode Island 


0.0 


0.0 


0.0 


0.0 


0.0 


South Carolina 


0.0 


4.7 


0.0 


0.0 


1.7 


South Dakota 


0.0 


0.0 


0.0 


0.0 


0.0 


Tennessee 


0.0 


1.0 


0.0 


0.0 


0.3 


Texas 


0.4 


1.6 


2.3 


2.0 


1.7 


Utah 


0.0 


0.0 


0.0 


0.0 


0.0 


Vermont 


0.0 


0.0 


0.0 


n/a 


0.0 


Virginia 


0.0 


1.2 


1.8 


0.0 


1.2 


Washington 


0.0 


0.8 


2.5 


10.0 


1.7 


West Virginia 


0.0 


0.0 


0.0 


0.0 


0.0 


Wisconsin 


0.0 


0.0 


0.0 


0.0 


0.0 


Wyoming 


0.0 


0.0 


0.0 


0.0 


0.0 



Source: OSCAR 
n/a: Data unavailable 



210 



Health Deficiencies Immediate 
Jeopardy by Bed Size 



Table 40 (c). Nursing Home Surveys Resulting in a Health Deficiency of Immediate 
Jeopardy to Residents by Bed Size Category: United States, 1998 







Percent by Number of Beds 








<50 


50-99 


100-199 


>199 


All Facilities 


Nation 


0.8 


2.1 


1.7 


2.2 


1.7 


Alabama 


0.0 


0.0 


0.0 


0.0 


0.0 


Alaska 


0.0 


0.0 


n/a 


50.0 


6.3 


Arizona 


3.7 


3.8 


4.7 


0.0 


3.8 


Arkansas 


0.0 


2.9 


3.3 


0.0 


2.7 


California 


1.1 


3.4 


3.3 


6.9 


3.0 


Colorado 


0.0 


1.3 


0.0 


0.0 


0.4 


Connecticut 


0.0 


0.0 


0.0 


0.0 


0.0 


Delaware 


0.0 


0.0 


0.0 


0.0 


0.0 


District of Columbia 


0.0 


0.0 


0.0 


0.0 


0.0 


Florida 


1.0 


0.0 


1.4 


2.8 


1.1 


Georgia 


0.0 


0.8 


0.5 


0.0 


0.5 


Hawaii 


0.0 


9.1 


0.0 


0.0 


2.3 


Idaho 


0.0 


0.0 


0.0 


n/a 


0.0 


Illinois 


0.9 


4.3 


3.4 


2.0 


3.1 


Indiana 


0.8 


5.9 


4.8 


5.5 


4.3 


Iowa 


0.0 


2.9 


0.0 


0.0 


1.7 


Kansas 


3.3 


4.4 


4.0 


0.0 


4.0 


Kentucky 


0.0 


0.8 


6.7 


0.0 


2.5 


Louisiana 


0.0 


0.0 


0.4 


0.0 


0.3 


Maine 


2.1 


0.0 


0.0 


0.0 


0.8 


Maryland 


0.0 


0.0 


0.0 


0.0 


0.0 


Massachusetts 


0.0 


0.8 


1.2 


0.0 


0.8 


Michigan 


0.0 


2.4 


2.0 


3.1 


2.0 


Minnesota 


1.7 


2.4 


7.9 


12.0 


4.8 


Mississippi 


0.0 


2.5 


0.0 


20.0 


1.4 


Missouri 


1.2 


3.8 


2.6 


3.7 


2.9 


Montana 


0.0 


0.0 


4.3 


0.0 


1.1 


Nebraska 


0.0 


0.8 


0.0 


0.0 


0.4 


Nevada 


0.0 


0.0 


0.0 


0.0 


0.0 


New Hampshire 


0.0 


0.0 


0.0 


0.0 


0.0 


New Jersey 


0.0 


0.0 


0.0 


0.0 


0.0 


New Mexico 


0.0 


3.6 


6.9 


0.0 


4.1 


New York 


0.0 


1.0 


0.0 


0.0 


0.2 


North Carolina 


0.0 


0.7 


0.5 


0.0 


0.5 


North Dakota 


0.0 


0.0 


0.0 


0.0 


0.0 


Ohio 


3.5 


3.7 


2.8 


8.3 


3.6 


Oklahoma 


0.0 


0.0 


0.0 


0.0 


0.0 


Oregon 


8.6 


4.3 


5.7 


0.0 


5.7 


Pennsylvania 


0.0 


0.0 


0.5 


1.0 


0.4 


Rhode Island 


0.0 


0.0 


0.0 


0.0 


0.0 


South Carolina 


0.0 


0.0 


1.5 


0.0 


0.6 


South Dakota 


0.0 


0.0 


0.0 


0.0 


0.0 


Tennessee 


0.0 


3.1 


2.7 


4.2 


2.5 


Texas 


0.0 


1.7 


0.8 


2.1 


1.0 


Utah 


0.0 


0.0 


0.0 


0.0 


0.0 


Vermont 


0.0 


0.0 


0.0 


n/a 


0.0 


Virginia 


0.0 


0.0 


0.0 


0.0 


0.0 


Washington 


1.9 


0.9 


1.8 


0.0 


1.4 


West Virginia 


0.0 


0.0 


0.0 


n/a 


0.0 


Wisconsin 


0.0 


0.5 


0.7 


0.0 


0.5 


Wyoming 


0.0 


0.0 


0.0 


0.0 


0.0 



Source: OSCAR 
n/a: Data unavailable 



211 



Health Deficiencies Immediate 
Jeopardy by Bed Size 



Table 40 (d). Nursing Home Surveys Resulting in a Health Deficiency of Immediate 
Jeopardy to Residents by Bed Size Category: United States, 1999 







Percent by Number of Beds 








<50 


50-99 


100-199 


>199 


All Facilities 


Nation 


0.8 


1.7 


2.0 


2.0 


1.7 


Alabama 


0.0 


0.0 


5.0 


8.3 


3.0 


Alaska 


0.0 


0.0 


n/a 


0.0 


0.0 


Arizona 


0.0 


0.0 


4.2 


0.0 


2.3 


Arkansas 


9.7 


11.9 


7.4 


0.0 


9.1 


California 


1.2 


1.5 


3.3 


0.0 


1.8 


Colorado 


0.0 


0.0 


0.0 


0.0 


0.0 


Connecticut 


0.0 


0.0 


0.0 


0.0 


0.0 


Delaware 


0.0 


0.0 


0.0 


0.0 


0.0 


District of Columbia 


0.0 


0.0 


0.0 


0.0 


0.0 


Florida 


0.0 


0.7 


0.6 


2.7 


0.7 


Georgia 


0.0 


0.0 


1.6 


0.0 


0.8 


Hawaii 


0.0 


0.0 


0.0 


0.0 


0.0 


Idaho 


6.9 


3.8 


0.0 


n/a 


3.6 


Illinois 


0.0 


1.4 


1.8 


3.2 


1.7 


Indiana 


2.2 


2.8 


2.4 


2.9 


2.5 


Iowa 


1.3 


0.8 


0.0 


0.0 


0.7 


Kansas 


0.0 


2.3 


1.3 


0.0 


1.4 


Kentucky 


0.0 


3.7 


5.2 


0.0 


3.1 


Louisiana 


0.0 


1.3 


2.3 


3.7 


1.9 


Maine 


2.2 


4.5 


0.0 


0.0 


3.1 


Maryland 


0.0 


0.0 


0.0 


0.0 


0.0 


Massachusetts 


0.0 


0.0 


0.4 


0.0 


0.2 


Michigan 


2.2 


2.6 


2.4 


2.9 


2.4 


Minnesota 


0.0 


1.4 


1.6 


0.0 


1.2 


Mississippi 


0.0 


1.3 


4.0 


33.3 


2.6 


Missouri 


0.0 


4.2 


2.6 


0.0 


2.7 


Montana 


0.0 


0.0 


0.0 


0.0 


0.0 


Nebraska 


0.0 


0.0 


0.0 


0.0 


0.0 


Nevada 


0.0 


0.0 


5.0 


0.0 


2.3 


New Hampshire 


0.0 


0.0 


5.3 


0.0 


1.4 


New Jersey 


0.0 


1.9 


0.0 


0.0 


0.3 


New Mexico 


0.0 


6.1 


6.3 


0.0 


5.0 


New York 


0.0 


0.0 


0.8 


2.5 


1.2 


North Carolina 


0.0 


1.4 


2.5 


0.0 


1.8 


North Dakota 


0.0 


0.0 


0.0 


0.0 


0.0 


Ohio 


1.5 


1.3 


2.3 


3.3 


2.0 


Oklahoma 


0.0 


0.0 


2.2 


0.0 


0.8 


Oregon 


7.1 


12.9 


11.1 


50.0 


11.6 


Pennsylvania 


0.0 


0.6 


0.5 


0.0 


0.4 


Rhode Island 


0.0 


0.0 


0.0 


0.0 


0.0 


South Carolina 


0.0 


4.3 


4.3 


0.0 


3.3 


South Dakota 


0.0 


0.0 


0.0 


n/a 


0.0 


Tennessee 


1.9 


2.1 


3.8 


4.5 


3.1 


Texas 


0.0 


2.4 


2.0 


2.1 


1.9 


Utah 


0.0 


0.0 


4.0 


n/a 


1.2 


Vermont 


0.0 


0.0 


0.0 


n/a 


0.0 


Virginia 


0.0 


0.0 


0.8 


0.0 


0.4 


Washington 


2.0 


1.0 


5.4 


12.5 


3.3 


West Virginia 


3.4 


0.0 


2.1 


0.0 


1.4 


Wisconsin 


0.0 


1.1 


2.0 


1.9 


1.4 


Wyoming 


0.0 


0.0 


0.0 


0.0 


0.0 



Source: OSCAR 
n/a: Data unavailable 



212 



Health Deficiencies Immediate 
Jeopardy by Bed Size 



Table 40 (e). Nursing Home Surveys Resulting in a Health Deficiency of Immediate 
Jeopardy to Residents by Bed Size Category: United States, 2000 







Percent by Number of Beds 








<50 


50-99 


100-199 


>199 


All Facilities 


Nation 


1.2 


2.0 


2.6 


1.7 


2.1 


Alabama 


0.0 


8.2 


7.4 


11.1 


7.4 


Alaska 


0.0 


0.0 


n/a 


0.0 


0.0 


Arizona 


0.0 


0.0 


0.0 


0.0 


0.0 


Arkansas 


7.1 


3.2 


10.5 


0.0 


7.4 


California 


1.8 


1.6 


2.3 


0.0 


1.7 


Colorado 


2.0 


1.3 


5.8 


0.0 


3.2 


Connecticut 


0.0 


0.0 


0.0 


0.0 


0.0 


Delaware 


0.0 


0.0 


0.0 


0.0 


0.0 


District of Columbia 


0.0 


0.0 


0.0 


0.0 


0.0 


Florida 


1.2 


1.4 


1.1 


0.0 


1.1 


Georgia 


0.0 


0.0 


1.1 


0.0 


0.6 


Hawaii 


0.0 


0.0 


0.0 


0.0 


0.0 


Idaho 


0.0 


0.0 


0.0 


n/a 


0.0 


Illinois 


1.9 


1.8 


0.6 


2.5 


1.5 


Indiana 


0.9 


1.0 


3.3 


2.4 


2.0 


Iowa 


0.0 


1.2 


1.0 


0.0 


0.9 


Kansas 


1.9 


3.6 


7.0 


0.0 


3.6 


Kentucky 


0.0 


3.6 


10.4 


16.7 


5.3 


Louisiana 


4.3 


2.7 


9.3 


0.0 


6.8 


Maine 


0.0 


1.5 


0.0 


0.0 


0.8 


Maryland 


0.0 


0.0 


0.0 


0.0 


0.0 


Massachusetts 


0.0 


1.5 


0.4 


0.0 


0.6 


Michigan 


2.0 


0.7 


2.0 


0.0 


1.5 


Minnesota 


3.2 


0.9 


1.4 


4.3 


1.6 


Mississippi 


3.2 


5.7 


7.9 


0.0 


6.0 


Missouri 


0.0 


0.9 


0.8 


0.0 


0.7 


Montana 


2.5 


0.0 


0.0 


0.0 


1.1 


Nebraska 


0.0 


0.0 


0.0 


0.0 


0.0 


Nevada 


7.7 


16.7 


0.0 


0.0 


6.3 


New Hampshire 


0.0 


0.0 


0.0 


0.0 


0.0 


New Jersey 


0.0 


1.8 


0.0 


0.0 


0.3 


New Mexico 


0.0 


3.1 


6.3 


0.0 


3.8 


New York 


2.1 


0.0 


1.2 


3.0 


1.7 


North Carolina 


0.0 


1.3 


3.3 


5.9 


2.3 


North Dakota 


0.0 


2.8 


0.0 


0.0 


1.1 


Ohio 


0.0 


0.4 


1.3 


0.0 


0.8 


Oklahoma 


0.0 


2.6 


1.6 


14.3 


2.1 


Oregon 


4.3 


2.6 


7.3 


0.0 


4.5 


Pennsylvania 


0.0 


0.0 


0.3 


0.0 


0.1 


Rhode Island 


0.0 


0.0 


0.0 


0.0 


0.0 


South Carolina 


0.0 


0.0 


0.0 


0.0 


0.0 


South Dakota 


0.0 


0.0 


0.0 


n/a 


0.0 


Tennessee 


2.1 


8.6 


4.1 


5.6 


5.2 


Texas 


4.1 


3.8 


6.0 


2.1 


4.9 


Utah 


0.0 


3.1 


0.0 


0.0 


1.0 


Vermont 


0.0 


0.0 


0.0 


n/a 


0.0 


Virginia 


0.0 


1.2 


0.0 


0.0 


0.4 


Washington 


2.0 


8.2 


2.9 


14.3 


5.2 


West Virginia 


0.0 


0.0 


3.6 


0.0 


1.3 


Wisconsin 


0.0 


2.4 


2.8 


2.1 


2.3 


Wyoming 


0.0 


0.0 


0.0 


0.0 


0.0 



Source: OSCAR 
n/a: Data unavailable 



213 



Health Deficiencies Immediate 
Jeopardy by Bed Size 



Table 40 (f). Nursing Home Surveys Resulting in a Health Deficiency of Immediate 
Jeopardy to Residents by Bed Size Category: United States, 2001 







Percent by N 


umber of Beds 








<50 


50-99 


100-199 


>199 


All Facilities 


Nation 


1.0 


2.4 


2.9 


2.6 


2.4 


Alabama 


0.0 


2.6 


3.8 


0.0 


2.9 


Alaska 


0.0 


20.0 


n/a 


0.0 


5.9 


Arizona 


0.0 


0.0 


0.0 


0.0 


0.0 


Arkansas 


0.0 


9.3 


11.7 


50.0 


10.2 


California 


0.0 


1.3 


2.1 


0.0 


1.2 


Colorado 


0.0 


1.3 


1.2 


0.0 


0.9 


Connecticut 


0.0 


7.0 


2.9 


4.8 


4.1 


Delaware 


0.0 


0.0 


4.0 


0.0 


2.5 


District of Columbia 


0.0 


0.0 


0.0 


0.0 


0.0 


Florida 


2.7 


0.8 


1.8 


0.0 


1.6 


Georgia 


3.7 


0.0 


3.9 


4.5 


2.7 


Hawaii 


0.0 


9.1 


0.0 


0.0 


2.9 


Idaho 


0.0 


0.0 


0.0 


n/a 


0.0 


Illinois 


0.0 


1.3 


3.4 


2.4 


2.2 


Indiana 


2.8 


2.6 


2.7 


8.3 


3.1 


Iowa 


1.1 


1.6 


0.0 


0.0 


1.1 


Kansas 


1.9 


5.7 


1.9 


0.0 


3.9 


Kentucky 


1.5 


8.1 


5.9 


0.0 


5.7 


Louisiana 


2.8 


6.2 


5.3 


10.0 


5.5 


Maine 


9.5 


1.7 


0.0 


0.0 


4.3 


Maryland 


0.0 


0.0 


0.0 


0.0 


0.0 


Massachusetts 


0.0 


0.0 


0.4 


0.0 


0.2 


Michigan 


2.0 


2.0 


0.0 


0.0 


0.9 


Minnesota 


1.8 


2.0 


2.5 


4.3 


2.2 


Mississippi 


0.0 


1.2 


3.9 


0.0 


2.1 


Missouri 


0.0 


1.0 


2.9 


5.6 


1.9 


Montana 


0.0 


0.0 


0.0 


0.0 


0.0 


Nebraska 


0.0 


1.0 


0.0 


0.0 


0.5 


Nevada 


0.0 


0.0 


0.0 


0.0 


0.0 


New Hampshire 


0.0 


0.0 


0.0 


0.0 


0.0 


New Jersey 


2.6 


0.0 


1.7 


3.6 


1.9 


New Mexico 


0.0 


3.4 


7.1 


0.0 


4.2 


New York 


2.3 


1.0 


3.5 


2.1 


2.5 


North Carolina 


0.0 


0.7 


4.8 


6.7 


3.0 


North Dakota 


0.0 


0.0 


0.0 


0.0 


0.0 


Ohio 


0.7 


1.0 


1.7 


3.1 


1.4 


Oklahoma 


2.9 


6.5 


7.7 


0.0 


6.3 


Oregon 


0.0 


3.3 


6.5 


0.0 


3.8 


Pennsylvania 


0.0 


0.0 


0.0 


0.0 


0.0 


Rhode Island 


0.0 


0.0 


0.0 


0.0 


0.0 


South Carolina 


0.0 


6.4 


6.5 


16.7 


5.3 


South Dakota 


0.0 


0.0 


0.0 


n/a 


0.0 


Tennessee 


0.0 


2.8 


4.3 


0.0 


3.0 


Texas 


1.6 


4.8 


5.0 


2.9 


4.5 


Utah 


3.3 


3.6 


0.0 


33.3 


3.2 


Vermont 


0.0 


0.0 


0.0 


n/a 


0.0 


Virginia 


0.0 


3.4 


1.7 


0.0 


1.9 


Washington 


0.0 


4.9 


7.6 


0.0 


5.0 


West Virginia 


0.0 


0.0 


0.0 


0.0 


0.0 


Wisconsin 


0.0 


2.7 


2.6 


4.4 


2.6 


Wyoming 


0.0 


0.0 


0.0 


n/a 


0.0 



Source: OSCAR 
n/a: Data unavailable 



214 



Health Deficiencies Immediate 
Jeopardy by Bed Size 



Table 41 (a). Nursing Home Surveys Resulting in a Health Deficiency of Immediate 
Jeopardy to Residents by Type of Ownership: United States, 1996 







Percent by Ownership 








For-Profit 


Non-Profit Government 


All Facilities 


Nation 


0.6 


0.4 


0.4 


0.6 


Alabama 


0.0 


3.2 


0.0 


0.5 


Alaska 


0.0 


0.0 


0.0 


0.0 


Arizona 


0.0 


0.0 


0.0 


0.0 


Arkansas 


0.4 


0.0 


0.0 


0.3 


California 


1.2 


0.7 


1.8 


1.1 


Colorado 


0.0 


0.0 


0.0 


0.0 


Connecticut 


0.0 


0.0 


0.0 


0.0 


Delaware 


0.0 


0.0 


0.0 


0.0 


District of Columbia 


0.0 


0.0 


0.0 


0.0 


Florida 


0.2 


0.7 


6.7 


0.5 


Georgia 


0.3 


0.0 


0.0 


0.2 


Hawaii 


0.0 


0.0 


0.0 


0.0 


Idaho 


0.0 


0.0 


0.0 


0.0 


Illinois 


0.7 


0.4 


0.0 


0.6 


Indiana 


0.5 


0.8 


0.0 


0.5 


Iowa 


0.0 


0.0 


0.0 


0.0 


Kansas 


1.1 


1.3 


0.0 


1.0 


Kentucky 


2.4 


0.0 


0.0 


1.6 


Louisiana 


0.0 


0.0 


0.0 


0.0 


Maine 


0.0 


0.0 


0.0 


0.0 


Maryland 


0.0 


0.0 


0.0 


0.0 


Massachusetts 


0.0 


0.0 


0.0 


0.0 


Michigan 


0.7 


0.8 


0.0 


0.7 


Minnesota 


0.0 


0.0 


0.0 


0.0 


Mississippi 


1.4 


0.0 


0.0 


1.0 


Missouri 


1.6 


0.0 


2.0 


1.2 


Montana 


0.0 


2.4 


0.0 


1.0 


Nebraska 


1.9 


1.2 


0.0 


1.2 


Nevada 


0.0 


0.0 


0.0 


0.0 


New Hampshire 


6.3 


0.0 


0.0 


3.3 


New Jersey 


0.0 


0.0 


0.0 


0.0 


New Mexico 


0.0 


0.0 


0.0 


0.0 


New York 


0.0 


0.0 


0.0 


0.0 


North Carolina 


1.0 


0.0 


0.0 


0.8 


North Dakota 


0.0 


0.0 


0.0 


0.0 


Ohio 


0.8 


0.4 


4.9 


0.8 


Oklahoma 


0.0 


0.0 


0.0 


0.0 


Oregon 


3.9 


0.0 


0.0 


3.0 


Pennsylvania 


0.6 


0.2 


0.0 


0.4 


Rhode Island 


0.0 


0.0 


n/a 


0.0 


South Carolina 


1.6 


0.0 


0.0 


1.1 


South Dakota 


0.0 


0.0 


0.0 


0.0 


Tennessee 


1.3 


1.3 


0.0 


1.2 


Texas 


0.4 


0.5 


0.0 


0.4 


Utah 


0.0 


0.0 


0.0 


0.0 


Vermont 


3.0 


0.0 


0.0 


2.3 


Virginia 


0.6 


0.0 


0.0 


0.4 


Washington 


1.0 


0.0 


0.0 


0.7 


West Virginia 


0.0 


0.0 


0.0 


0.0 


Wisconsin 


0.0 


1.8 


0.0 


0.7 


Wyoming 


0.0 


0.0 


0.0 


0.0 



Source: OSCAR 
n/a: Data unavailable 



215 



Health Deficiencies Immediate 
Jeopardy by Ownership 



Table 41 (b). Nursing Home Surveys Resulting in a Health Deficiency of Immediate 
Jeopardy to Residents by Type of Ownership: United States, 1997 







Percent by Ownership 








For-Profit 


Non-Profit Government 


All Facilities 


Nation 


1.4 


0.7 


0.3 


1.1 


Alabama 


0.0 


0.0 


0.0 


0.0 


Alaska 


0.0 


0.0 


0.0 


0.0 


Arizona 


2.6 


0.0 


0.0 


1.7 


Arkansas 


0.0 


0.0 


0.0 


0.0 


California 


4.0 


2.1 


1.7 


3.5 


Colorado 


0.0 


0.0 


0.0 


0.0 


Connecticut 


0.0 


0.0 


0.0 


0.0 


Delaware 


0.0 


0.0 


0.0 


0.0 


District of Columbia 


0.0 


0.0 


0.0 


0.0 


Florida 


0.4 


0.0 


0.0 


0.3 


Georgia 


0.0 


0.0 


0.0 


0.0 


Hawaii 


0.0 


0.0 


0.0 


0.0 


Idaho 


1.9 


0.0 


5.3 


2.4 


Illinois 


2.3 


1.1 


0.0 


1.8 


Indiana 


0.5 


0.0 


0.0 


0.3 


Iowa 


0.0 


0.5 


0.0 


0.2 


Kansas 


5.4 


3.1 


1.8 


4.2 


Kentucky 


2.4 


1.2 


0.0 


1.9 


Louisiana 


1.0 


0.0 


0.0 


0.8 


Maine 


1.0 


0.0 


0.0 


0.7 


Maryland 


0.0 


0.0 


0.0 


0.0 


Massachusetts 


0.5 


0.7 


0.0 


0.5 


Michigan 


1.4 


0.9 


0.0 


1.2 


Minnesota 


0.8 


0.0 


0.0 


0.2 


Mississippi 


0.0 


0.0 


0.0 


0.0 


Missouri 


1.0 


0.7 


0.0 


0.8 


Montana 


0.0 


0.0 


0.0 


0.0 


Nebraska 


0.0 


1.3 


0.0 


0.4 


Nevada 


0.0 


0.0 


0.0 


0.0 


New Hampshire 


0.0 


0.0 


0.0 


0.0 


New Jersey 


0.0 


0.0 


0.0 


0.0 


New Mexico 


2.3 


0.0 


0.0 


1.3 


New York 


0.0 


0.0 


0.0 


0.0 


North Carolina 


0.0 


0.0 


0.0 


0.0 


North Dakota 


0.0 


0.0 


0.0 


0.0 


Ohio 


3.2 


1.8 


0.0 


2.8 


Oklahoma 


0.0 


0.0 


0.0 


0.0 


Oregon 


2.5 


9.4 


0.0 


3.9 


Pennsylvania 


0.3 


0.0 


0.0 


0.1 


Rhode Island 


0.0 


0.0 


n/a 


0.0 


South Carolina 


2.2 


0.0 


0.0 


1.7 


South Dakota 


0.0 


0.0 


0.0 


0.0 


Tennessee 


0.4 


0.0 


0.0 


0.3 


Texas 


2.0 


1.0 


0.0 


1.7 


Utah 


0.0 


0.0 


0.0 


0.0 


Vermont 


0.0 


0.0 


n/a 


0.0 


Virginia 


1.3 


1.3 


0.0 


1.2 


Washington 


2.0 


1.4 


0.0 


1.7 


West Virginia 


0.0 


0.0 


0.0 


0.0 


Wisconsin 


0.0 


0.0 


0.0 


0.0 


Wyoming 


0.0 


0.0 


0.0 


0.0 



Source: OSCAR 
n/a: Data unavailable 



216 



Health Deficiencies Immediate 
Jeopardy by Ownership 



a 



Table 41 (c). Nursing Home Surveys Resulting in a Health Deficiency of Immediate 
Jeopardy to Residents by Type of Ownership: United States, 1998 







Percent by Ownership 








For-Profit 


Non-Profit Government 


All Facilities 


Nation 


1.9 


1.3 


1.3 


1.7 


Alabama 


0.0 


0.0 


0.0 


0.0 


Alaska 


0.0 


10.0 


0.0 


6.3 


Arizona 


3.6 


4.4 


0.0 


3.8 


Arkansas 


2.4 


2.4 


7.1 


2.7 


California 


3.6 


1.1 


2.2 
0.0 


3.0 


Colorado 


0.7 


0.0 


0.4 


Connecticut 


0.0 


0.0 


0.0 


0.0 


Delaware 


0.0 


0.0 


0.0 


0.0 


District of Columbia 


0.0 


0.0 


0.0 


0.0 


Florida 


1.5 


0.0 


0.0 


1.1 


Georgia 


0.7 


0.0 


0.0 


0.5 


Hawaii 


5.3 


0.0 


0.0 


2.3 


Idaho 


0.0 


0.0 


0.0 


0.0 


Illinois 


4.2 


0.7 


4.1 


3.1 


Indiana 


4.3 


4.6 


0.0 


4.3 


Iowa 


1.2 


2.1 


4.8 


1.7 


Kansas 


4.6 


2.7 


4.5 


4.0 


Kentucky 


2.5 


1.9 


11.1 


2.5 


Louisiana 


0.4 


0.0 


0.0 


0.3 


Maine 


1.0 


0.0 


0.0 


0.8 


Maryland 


0.0 


0.0 


0.0 


0.0 


Massachusetts 


0.6 


1.4 


0.0 


0.8 


Michigan 


1.6 


3.6 


0.0 


2.0 


Minnesota 


5.1 


5.2 


1.8 


4.8 


Mississippi 


2.1 


0.0 


0.0 


1.4 


Missouri 


4.0 


0.0 


3.8 


2.9 


Montana 


0.0 


2.3 


0.0 


1.1 


Nebraska 


0.9 


0.0 


0.0 


0.4 


Nevada 


0.0 


0.0 


0.0 


0.0 


New Hampshire 


0.0 


0.0 


0.0 


0.0 


New Jersey 


0.0 


0.0 


0.0 


0.0 


New Mexico 


4.3 


4.8 


0.0 


4.1 


New York 


0.4 


0.0 


0.0 


0.2 


North Carolina 


0.6 


0.0 


0.0 


0.5 


North Dakota 


0.0 


0.0 


0.0 


0.0 


Ohio 


3.4 


4.5 


0.0 


3.6 


Oklahoma 


0.0 


0.0 


0.0 


0.0 


Oregon 


7.6 


0.0 


0.0 


5.7 


Pennsylvania 


0.3 


0.5 


0.0 


0.4 


Rhode Island 


0.0 


0.0 


n/a 


0.0 


South Carolina 


0.8 


0.0 


0.0 


0.6 


South Dakota 


0.0 


0.0 


0.0 


0.0 


Tennessee 


2.8 


0.0 


5.7 


2.5 


Texas 


1.1 


1.0 


0.0 


1.0 


Utah 


0.0 


0.0 


0.0 


0.0 


Vermont 


0.0 


0.0 


0.0 


0.0 


Virginia 


0.0 


0.0 


0.0 


0.0 


Washington 


0.5 


4.4 


0.0 


1.4 


West Virginia 


0.0 


0.0 


0.0 


0.0 


Wisconsin 


0.9 


0.0 


0.0 


0.5 


Wyoming 


0.0 


0.0 


0.0 


0.0 



Source: OSCAR 
n/a: Data unavailable 



217 



Health Deficiencies Immediate 
Jeopardy by Ownership 



Table 41 (d). Nursing Home Surveys Resulting in a Health Deficiency of Immediate 
Jeopardy to Residents by Type of Ownership: United States, 1999 







Percent by Ownership 








For-Profit 


Non-Profit Government 


All Facilities 


Nation 


2.1 


1.7 


1.6 


1.7 


Alabama 


1.9 


0.0 


9.5 


3.0 


Alaska 


0.0 


0.0 


0.0 


0.0 


Arizona 


3.5 


0.0 


0.0 


2.3 


Arkansas 


9.0 


11.9 


0.0 


9.1 


California 


1.8 


1.5 


2.3 


1.8 


Colorado 


0.0 


0.0 


0.0 


0.0 


Connecticut 


0.0 


0.0 


0.0 


0.0 


Delaware 


0.0 


0.0 


0.0 


0.0 


District of Columbia 


0.0 


0.0 


0.0 


0.0 


Florida 


0.9 


0.7 


0.0 


0.7 


Georgia 


0.7 


0.0 


4.0 


0.8 


Hawaii 


0.0 


0.0 


0.0 


0.0 


Idaho 


1.9 


3.8 


10.5 


3.6 


Illinois 


2.0 


1.4 


0.0 


1.7 


Indiana 


3.2 


2.8 


0.0 


2.5 


Iowa 


1.3 


0.8 


0.0 


0.7 


Kansas 


2.7 


2.3 


0.0 


1.4 


Kentucky 


3.3 


3.7 


0.0 


3.1 


Louisiana 


1.4 


1.3 


7.4 


1.9 


Maine 


3.3 


4.5 


0.0 


3.1 


Maryland 


0.0 


0.0 


0.0 


0.0 


Massachusetts 


0.3 


0.0 


0.0 


0.2 


Michigan 


3.1 


2.6 


0.0 


2.4 


Minnesota 


0.8 


1.4 


0.0 


1.2 


Mississippi 


3.7 


1.3 


0.0 


2.6 


Missouri 


3.0 


4.2 


4.1 


2.7 


Montana 


0.0 


0.0 


0.0 


0.0 


Nebraska 


0.0 


0.0 


0.0 


0.0 


Nevada 


3.2 


0.0 


0.0 


2.3 


New Hampshire 


2.8 


0.0 


0.0 


1.4 


New Jersey 


0.0 


1.9 


0.0 


0.3 


New Mexico 


8.3 


6.1 


0.0 


5.0 


New York 


1.4 


0.0 


2.2 


1.2 


North Carolina 


2.4 


1.4 


0.0 


1.8 


North Dakota 


0.0 


0.0 


0.0 


0.0 


Ohio 


2.3 


1.3 


3.3 


2.0 


Oklahoma 


0.6 


0.0 


5.9 


0.8 


Oregon 


15.7 


12.9 


0.0 


11.6 


Pennsylvania 


0.6 


0.6 


0.0 


0.4 


Rhode Island 


0.0 


0.0 


n/a 


0.0 


South Carolina 


3.4 


4.3 


0.0 


3.3 


South Dakota 


0.0 


0.0 


0.0 


0.0 


Tennessee 


4.1 


2.1 


0.0 


3.1 


Texas 


2.2 


2.4 


0.0 


1.9 


Utah 


1.6 


0.0 


0.0 


1.2 


Vermont 


0.0 


0.0 


0.0 


0.0 


Virginia 


0.6 


0.0 


0.0 


0.4 


Washington 


3.7 


1.0 


4.3 


3.3 


West Virginia 


1.1 


0.0 


6.7 


1.4 


Wisconsin 


1.0 


1.1 


3.2 


1.4 


Wyoming 


0.0 


0.0 


0.0 


0.0 



Source: OSCAR 
n/a: Data unavailable 



218 



Health Deficiencies Immediate 
Jeopardy by Ownership 



Table 41 (e). Nursing Home Surveys Resulting in a Health Deficiency of Immediate 
Jeopardy to Residents by Type of Ownership: United States, 2000 







Percent by Ownership 








For- Profit 


Non-Profit Government 


All Facilities 


Nation 


2.5 


1.2 


1.5 


2.1 


Alabama 


7.1 


3.6 


15.8 


7.4 


Alaska 


n/a 


0.0 


0.0 


0.0 


Arizona 


0.0 


0.0 


0.0 


0.0 


Arkansas 


8.4 


4.8 


0.0 


7.4 


California 


1.8 


1.4 


2.3 


1.7 


Colorado 


2.9 


5.2 


0.0 


3.2 


Connecticut 


0.0 


0.0 


0.0 


0.0 


Delaware 


0.0 


0.0 


0.0 


0.0 


District of Columbia 


0.0 


0.0 


0.0 


0.0 


Florida 


1.3 


0.6 


0.0 


1.1 


Georgia 


0.8 


0.0 


0.0 


0.6 


Hawaii 


0.0 


0.0 


0.0 


0.0 


Idaho 


0.0 


0.0 


0.0 


0.0 


Illinois 


1.6 


1.6 


0.0 


1.5 


Indiana 


2.3 


1.5 


0.0 


2.0 


Iowa 


1.3 


0.5 


0.0 


0.9 


Kansas 


5.7 


0.7 


3.8 


3.6 


Kentucky 


7.2 


2.2 


0.0 


5.3 


Louisiana 


7.6 


5.1 


0.0 


6.8 


Maine 


1.1 


0.0 


0.0 


0.8 


Maryland 


0.0 


0.0 


0.0 


0.0 


Massachusetts 


0.9 


0.0 


0.0 


0.6 


Michigan 


2.0 


0.8 


0.0 


1.5 


Minnesota 


2.3 


1.2 


1.6 


1.6 


Mississippi 


5.5 


13.3 


0.0 


6.0 


Missouri 


0.8 


0.7 


0.0 


0.7 


Montana 


2.9 


0.0 


0.0 


1.1 


Nebraska 


0.0 


0.0 


0.0 


0.0 


Nevada 


5.9 


0.0 


16.7 


6.3 


New Hampshire 


0.0 


0.0 


0.0 


0.0 


New Jersey 


0.0 


0.9 


0.0 


0.3 


New Mexico 


6.1 


0.0 


0.0 


3.8 


New York 


2.1 


1.1 


2.0 


1.7 


North Carolina 


2.8 


1.0 


0.0 


2.3 


North Dakota 


0.0 


1.4 


0.0 


1.1 


Ohio 


0.8 


0.9 


0.0 


0.8 


Oklahoma 


2.5 


0.0 


0.0 


2.1 


Oregon 


6.0 


0.0 


0.0 


4.5 


Pennsylvania 


0.3 


0.0 


0.0 


0.1 


Rhode Island 


0.0 


0.0 


n/a 


0.0 


South Carolina 


0.0 


0.0 


0.0 


0.0 


South Dakota 


0.0 


0.0 


0.0 


0.0 


Tennessee 


4.9 


2.9 


12.5 


5.2 


Texas 


5.1 


4.4 


0.0 


4.9 


Utah 


1.3 


0.0 


0.0 


1.0 


Vermont 


0.0 


0.0 


0.0 


0.0 


Virginia 


0.6 


0.0 


0.0 


0.4 


Washington 


7.0 


1.6 


0.0 


5.2 


West Virginia 


1.9 


0.0 


0.0 


1.3 


Wisconsin 


0.5 


3.4 


5.2 


2.3 


Wyoming 


0.0 


0.0 


0.0 


0.0 



Source: OSCAR 
n/a: Data unavailable 



219 



Health Deficiencies Immediate 
Jeopardy by Ownership 



Table 41 (f). Nursing Home Surveys Resulting in a Health Deficiency of Immediate 
Jeopardy to Residents by Type of Ownership: United States, 2001 







Percent by Ownership 








For- Profit 


Non-Profit Government 


Non-Profit 


Nation 


3.0 


1.3 


1.7 


2.4 


Alabama 


3.1 


3.7 


0.0 


2.9 


Alaska 


0.0 


10.0 


0.0 


5.9 


Arizona 


0.0 


0.0 


0.0 


0.0 


Arkansas 


11.3 


4.9 


11.1 


10.2 


California 


1.6 


0.0 


0.0 


1.2 


Colorado 


1.4 


0.0 


0.0 


0.9 


Connecticut 


4.9 


1.8 


0.0 


4.1 


Delaware 


0.0 


0.0 


33.3 


2.5 


District of Columbia 


0.0 


0.0 


0.0 


0.0 


Florida 


2.0 


0.6 


0.0 


1.6 


Georgia 


3.5 


0.0 


0.0 


2.7 


Hawaii 


6.3 


0.0 


0.0 


2.9 


Idaho 


0.0 


0.0 


0.0 


0.0 


Illinois 


2.4 


1.4 


2.9 


2.2 


Indiana 


3.7 


1.9 


0.0 


3.1 


Iowa 


1.7 


0.5 


0.0 


1.1 


Kansas 


4.9 


2.4 


3.8 


3.9 


Kentucky 


7.5 


2.2 


0.0 


5.7 


Louisiana 


4.9 


8.2 


4.8 


5.5 


Maine 


4.8 


0.0 


16.7 


4.3 


Maryland 


0.0 


0.0 


0.0 


0.0 


Massachusetts 


0.3 


0.0 


0.0 


0.2 


Michigan 


1.4 


0.0 


0.0 


0.9 


Minnesota 


3.8 


2.1 


0.0 


2.2 


Mississippi 


1.4 


7.4 


0.0 


2.1 


Missouri 


2.5 


0.8 


0.0 


1.9 


Montana 


0.0 


0.0 


0.0 


0.0 


Nebraska 


1.0 


0.0 


0.0 


0.5 


Nevada 


0.0 


0.0 


0.0 


0.0 


New Hampshire 


0.0 


0.0 


0.0 


0.0 


New Jersey 


3.0 


0.0 


0.0 


1.9 


New Mexico 


6.4 


0.0 


0.0 


4.2 


New York 


2.6 


2.4 


2.0 


2.5 


North Carolina 


3.9 


1.0 


0.0 


3.0 


North Dakota 


0.0 


0.0 


0.0 


0.0 


Ohio 


1.7 


0.8 


0.0 


1.4 


Oklahoma 


6.8 


4.8 


0.0 


6.3 


Oregon 


3.3 


5.7 


0.0 


3.8 


Pennsylvania 


0.0 


0.0 


0.0 


0.0 


Rhode Island 


0.0 


0.0 


n/a 


0.0 


South Carolina 


4.6 


4.8 


8.7 


5.3 


South Dakota 


0.0 


0.0 


0.0 


0.0 


Tennessee 


2.7 


2.3 


6.9 


3.0 


Texas 


4.5 


3.4 


10.5 


4.5 


Utah 


3.9 


0.0 


0.0 


3.2 


Vermont 


0.0 


0.0 


0.0 


0.0 


Virginia 


2.5 


1.1 


0.0 


1.9 


Washington 


7.4 


0.0 


0.0 


5.0 


West Virginia 


0.0 


0.0 


0.0 


0.0 


Wisconsin 


3.0 


2.6 


1.6 


2.6 


Wyoming 


0.0 


0.0 


0.0 


0.0 



Source: OSCAR 
n/a: Data unavailable 



220 



Health Deficiencies Immediate 
Jeopardy by Ownership 



I 



Table 42 (a). Nursing Home Surveys Resulting in a Citation for Substandard Quality of 
Care by Bed Size Category: United States, 1996^ 







Percent by Number of Beds 








<50 


50-99 


100-199 


>199 


All Facilities 


Nation 


2.5 


5.8 


7.0 


7.1 


5.8 


Alabama 


5.9 


2.4 


2.8 


10.0 


3.2 


Alaska 


0.0 


0.0 


n/a 


0.0 


0.0 


Arizona 


0.0 


2.9 


0.0 


0.0 


0.7 


Arkansas 


3.0 


4.9 


3.5 


0.0 


4.0 


California 


2.5 


9.2 


11.2 


15.9 


8.5 


Colorado 


0.0 


2.9 


6.2 


28.6 


4.2 


Connecticut 


11.1 


1.4 


2.8 


8.0 


3.5 


Delaware 


0.0 


0.0 


8.3 


n/a 


5.4 


District of Columbia 


0.0 


0.0 


0.0 


0.0 


0.0 


Florida 


2.4 


12.9 


14.1 


27.3 


13.0 


Georgia 


10.0 


18.0 


15.6 


21.9 


16.5 


Hawaii 


0.0 


0.0 


0.0 


0.0 


0.0 


Idaho 


6.1 


4.0 


8.7 


0.0 


6.1 


Illinois 


0.9 


2.8 


4.0 


3.2 


3.1 


Indiana 


3.2 


8.1 


12.7 


13.0 


9.3 


Iowa 


4.9 


1.4 


1.8 


0.0 


2.1 


Kansas 


10.1 


18.4 


19.5 


20.0 


16.6 


Kentucky 


1.2 


2.4 


6.9 


28.6 


4.1 


Louisiana 


0.0 


0.0 


0.4 


0.0 


0.3 


Maine 


7.7 


6.1 


3.6 


0.0 


5.9 


Maryland 


0.0 


4.1 


5.6 


9.7 


4.8 


Massachusetts 


0.8 


4.0 


3.3 


9.5 


3.2 


Michigan 


4.4 


5.9 


9.7 


6.8 


7.8 


Minnesota 


1.9 


1.0 


2.2 


0.0 


1.5 


Mississippi 


0.0 


1.3 


10.7 


0.0 


4.5 


Missouri 


1.1 


6.0 


6.9 


7.1 


5.7 


Montana 


0.0 


3.0 


14.3 


50.0 


5.1 


Nebraska 


8.9 


4.3 


13.7 


0.0 


7.2 


Nevada 


0.0 


0.0 


6.3 


75.0 


8.3 


New Hampshire 


0.0 


12.8 


0.0 


0.0 


5.4 


New Jersey 


8.6 


1.7 


4.5 


3.0 


4.1 


New Mexico 


0.0 


0.0 


2.7 


0.0 


1.1 


New York 


4.4 


0.9 


1.9 


2.2 


2.0 


North Carolina 


0.0 


1.4 


5.6 


25.0 


4.0 


North Dakota 


0.0 


0.0 


4.2 


0.0 


1.1 


Ohio 


5.8 


3.4 


6.5 


8.9 


5.7 


Oklahoma 


0.0 


1.9 


4.0 


14.3 


2.5 


Oregon 


8.1 


14.1 


10.2 


0.0 


11.3 


Pennsylvania 


0.0 


1.1 


4.0 


2.0 


2.4 


Rhode Island 


0.0 


0.0 


4.9 


0.0 


2.0 


South Carolina 


0.0 


7.7 


10.4 


0.0 


6.7 


South Dakota 


0.0 


0.0 


0.0 


0.0 


0.0 


Tennessee 


0.0 


6.1 


3.4 


19.0 


4.6 


Texas 


0.8 


7.5 


10.5 


2.2 


7.5 


Utah 


3.7 


2.9 


3.3 


0.0 


3.2 


Vermont 


0.0 


0.0 


0.0 


n/a 


0.0 


Virginia 


0.0 


10.5 


11.2 


19.0 


9.9 


Washington 


0.0 


8.2 


7.3 


0.0 


6.3 


West Virginia 


0.0 


3.8 


10.3 


100.0 


6.0 


Wisconsin 


0.0 


2.5 


3.7 


1.8 


2.6 


Wyoming 


0.0 


5.3 


0.0 


0.0 


2.6 



Source: OSCAR 
n/a: Data unavailable 



221 



Health Deficiencies Substandard 
Quality of Care 



Table 42 (b). Nursing Home Surveys Resulting in a Citation for Substandard Quality of 
Care by Bed Size Category: Unite d States, 1997 







Percent by Number of Beds 








<50 


50-99 


100-199 


>199 


All Facilities 


Nation 


3.0 


4.7 


5.6 


4.7 


4.8 


Alabama 


0.0 


1.3 


6.9 


0.0 


4.0 


Alaska 


0.0 


0.0 


n/a 


0.0 


0.0 


Arizona 


4.8 


0.0 


1.6 


0.0 


1.7 


Arkansas 


0.0 


3.0 


2.1 


0.0 


2.1 


California 


4.2 


7.3 


10.0 


9.7 


7.3 


Colorado 


0.0 


1.3 


1.2 


0.0 


0.8 


Connecticut 


0.0 


1.2 


5.3 


0.0 


3.3 


Delaware 


0.0 


0.0 


0.0 


0.0 


0.0 


District of Columbia 


0.0 


0.0 


14.3 


0.0 


3.8 


Florida 


4.3 


8.0 


10.8 


9.7 


9.3 


Georgia 


0.0 


1.8 


9.6 


0.0 


5.9 


Hawaii 


7.1 


7.1 


10.0 


0.0 


7.1 


Idaho 


9.4 


8.0 


18.5 


n/a 


11.9 


Illinois 


1.8 


2.8 


2.4 


5.2 


2.9 


Indiana 


3.9 


5.3 


5.0 


5.3 


4.9 


Iowa 


2.8 


2.6 


6.5 


33.3 


4.2 


Kansas 


11.3 


11.9 


27.8 


0.0 


14.5 


Kentucky 


1.5 


4.8 


4.4 


20.0 


4.2 


Louisiana 


0.0 


1.3 


1.3 


4.2 


1.3 


Maine 


6.8 


7.4 


9.5 


0.0 


7.4 


Maryland 


0.0 


0.0 


7.4 


9.7 


5.0 


Massachusetts 


2.7 


3.2 


5.9 


14.3 


4.9 


Michigan 


2.1 


4.1 


3.6 


5.7 


3.7 


Minnesota 


0.0 


1.0 


1.4 


0.0 


1.0 


Mississippi 


0.0 


3.8 


8.8 


0.0 


4.8 


Missouri 


2.2 


2.6 


4.0 


10.7 


3.5 


Montana 


2.4 


2.9 


8.0 


0.0 


3.8 


Nebraska 


5.0 


3.8 


2.1 


0.0 


3.7 


Nevada 


5.6 


0.0 


20.0 


0.0 


9.5 


New Hampshire 


0.0 


9.8 


9.1 


0.0 


7.7 


New Jersey 


0.0 


2.1 


3.7 


5.0 


3.4 


New Mexico 


0.0 


3.2 


0.0 


0.0 


1.3 


New York 


0.0 


0.0 


1.3 


0.0 


0.5 


North Carolina 


0.0 


4.0 


5.1 


0.0 


3.9 


North Dakota 


0.0 


3.0 


14.3 


0.0 


5.3 


Ohio 


2.6 


7.9 


6.7 


8.0 


6.5 


Oklahoma 


1.3 


1.5 


1.4 


0.0 


1.4 


Oregon 


3.0 


9.1 


9.3 


0.0 


7.7 


Pennsylvania 


3.9 


3.6 


2.3 


2.2 


2.9 


Rhode Island 


5.0 


2.9 


0.0 


0.0 


2.1 


South Carolina 


0.0 


4.7 


11.4 


0.0 


6.1 


South Dakota 


0.0 


0.0 


0.0 


0.0 


0.0 


Tennessee 


0.0 


2.9 


0.6 


0.0 


1.1 


Texas 


3.1 


6.9 


6.6 


3.9 


6.0 


Utah 


0.0 


0.0 


0.0 


0.0 


0.0 


Vermont 


0.0 


0.0 


6.3 


n/a 


2.6 


Virginia 


0.0 


6.2 


9.2 


15.0 


7.3 


Washington 


8.2 


11.0 


7.6 


10.0 


9.2 


West Virginia 


5.0 


2.7 


3.7 


66.7 


5.7 


Wisconsin 


0.0 


1.6 


5.7 


6.0 


3.4 


Wyoming 


11.1 


6.3 


0.0 


0.0 


5.4 



Source: OSCAR 
n/a: Data unavailable 



222 



Health Deficiencies Substandard 
Quality of Care 



Table 42 (c). Nursing Home Surveys Resulting in a Citation for Substandard Quality of 
Care by Bed Size Cate gory: United States, 1998 







Percent by Number of Beds 








<50 


50-99 


100-199 


>199 


All Facilities 


Nation 


2.3 


5.7 


6.4 


6.7 


5.5 


Alabama 


0.0 


0.0 


0.9 


10.0 


0.9 


Alaska 


0.0 


0.0 


n/a 


50.0 


6.3 


Arizona 


0.0 


0.0 


7.8 


0.0 


3.8 


Arkansas 


6.7 


6.8 


8.9 


0.0 


7.6 


California 


2.8 


8.8 


9.2 


22.4 


8.2 


Colorado 


5.5 


1.3 


0.0 


11.1 


2.2 


Connecticut 


6.7 


1.4 


5.8 


0.0 


4.1 


Delaware 


0.0 


0.0 


5.9 


0.0 


3.6 


District of Columbia 


0.0 


0.0 


40.0 


0.0 


11.8 


Florida 


3.0 


9.8 


11.3 


19.4 


10.2 


Georgia 


0.0 


2.4 


6.4 


3.8 


4.4 


Hawaii 


5.9 


9.1 


8.3 


25.0 


9.1 


Idaho 


0.0 


11.5 


23.3 


n/a 


11.9 


Illinois 


0.9 


5.4 


5.8 


4.0 


4.7 


Indiana 


4.7 


11.8 


10.1 


10.9 


9.5 


Iowa 


0.0 


5.5 


2.8 


0.0 


3.8 


Kansas 


6.6 


11.2 


16.0 


0.0 


10.6 


Kentucky 


2.3 


10.7 


11.4 


33.3 


9.1 


Louisiana 


0.0 


0.0 


3.9 


4.0 


2.6 


Maine 


6.4 


6.2 


5.9 


25.0 


6.8 


Maryland 


0.0 


0.0 


4.3 


3.7 


2.4 


Massachusetts 


0.0 


4.8 


3.9 


9.5 


3.6 


Michigan 


2.2 


5.6 


5.9 


15.6 


6.2 


Minnesota 


5.2 


3.4 


13.2 


16.0 


7.7 


Mississippi 


0.0 


7.4 


4.0 


20.0 


4.8 


Missouri 


1.2 


6.2 


7.4 


11.1 


6.1 


Montana 


2.6 


3.2 


17.4 


0.0 


6.4 


Nebraska 


3.6 


3.1 


0.0 


0.0 


2.5 


Nevada 


5.6 


25.0 


27.8 


25.0 


18.8 


New Hampshire 


5.9 


5.9 


3.7 


0.0 


4.8 


New Jersey 


0.0 


3.3 


2.2 


1.9 


2.0 


New Mexico 


7.1 


0.0 


6.9 


0.0 


4.1 


New York 


0.0 


1.0 


0.9 


0.0 


0.5 


North Carolina 


0.0 


2.7 


4.3 


20.0 


3.6 


North Dakota 


0.0 


0.0 


17.4 


0.0 


4.3 


Ohio 


3.5 


8.5 


8.8 


12.5 


8.2 


Oklahoma 


3.4 


3.2 


2.1 


0.0 


2.8 


Oregon 


11.4 


14.5 


7.5 


0.0 


11.3 


Pennsylvania 


0.0 


1.2 


4.5 


3.1 


2.7 


Rhode Island 


0.0 


6.7 


2.3 


0.0 


3.0 


South Carolina 


0.0 


8.1 


3.0 


0.0 


4.1 


South Dakota 


0.0 


0.0 


0.0 


0.0 


0.0 


Tennessee 


1.7 


5.2 


5.3 


4.2 


4.6 


Texas 


0.5 


5.4 


6.3 


4.3 


5.0 


Utah 


3.1 


6.9 


6.5 


0.0 


5.3 


Vermont 


0.0 


0.0 


7.1 


n/a 


2.6 


Virginia 


0.0 


1.3 


3.6 


0.0 


2.1 


Washington 


3.8 


7.0 


11.9 


12.5 


8.5 


West Virginia 


0.0 


0.0 


3.4 


n/a 


1.2 


Wisconsin 


0.0 


2.7 


0.7 


7.5 


2.3 


Wyoming 


7.7 


0.0 


0.0 


0.0 


2.3 



Source: OSCAR 
n/a: Data unavailable 



223 



Health Deficiencies Substandard 
Quality of Care 



Table 42 (d). Nursing Home Surveys Resulting in a Citation for Substandard Quality of 
Care by Bed Size Categ ory: United States, 1999 







Percent by N 


umber of Beds 








<50 


50-99 


100-199 


>199 


All Facilities 


Nation 


3.0 


4.8 


6.2 


6.6 


5.2 


Alabama 


0.0 


2.7 


5.0 


16.7 


4.4 


Alaska 


18.2 


0.0 


n/a 


0.0 


12.5 


Arizona 


0.0 


0.0 


6.3 


0.0 


3.4 


Arkansas 


19.4 


20.2 


10.7 


0.0 


14.9 


California 


2.8 


7.6 


7.6 


5.6 


6.5 


Colorado 


0.0 


1.2 


3.3 


0.0 


1.7 


Connecticut 


0.0 


1.3 


4.3 


4.0 


3.2 


Delaware 


0.0 


10.0 


4.8 


0.0 


5.7 


District of Columbia 


0.0 


0.0 


0.0 


25.0 


6.7 


Florida 


2.0 


3.7 


9.1 


10.8 


7.2 


Georgia 


3.3 


1.8 


4.7 


12.0 


4.2 


Hawaii 


0.0 


0.0 


8.3 


0.0 


2.3 


Idaho 


6.9 


7.7 


10.3 


n/a 


8.3 


Illinois 


0.9 


3.9 


4.2 


5.7 


3.9 


Indiana 


9.0 


6.8 


7.2 


17.1 


8.1 


Iowa 


1.3 


3.1 


1.9 


0.0 


2.5 


Kansas 


0.8 


5.4 


14.3 


14.3 


5.9 


Kentucky 


3.8 


9.3 


10.3 


16.7 


8.3 


Louisiana 


3.9 


6.6 


2.7 


7.4 


4.0 


Maine 


10.9 


9.1 


0.0 


0.0 


8.4 


Maryland 


0.0 


8.3 


11.4 


10.5 


8.4 


Massachusetts 


1.2 


1.4 


4.5 


10.0 


3.3 


Michigan 


4.4 


8.5 


8.0 


2.9 


7.3 


Minnesota 


0.0 


4.5 


3.9 


9.4 


4.2 


Mississippi 


5.6 


1.3 


8.0 


33.3 


5.3 


Missouri 


3.7 


6.5 


9.5 


4.0 


7.2 


Montana 


2.3 


0.0 


0.0 


0.0 


1.0 


Nebraska 


1.7 


0.8 


6.3 


0.0 


2.1 


Nevada 


0.0 


9.1 


10.0 


0.0 


6.8 


New Hampshire 


0.0 


3.1 


15.8 


20.0 


7.2 


New Jersey 


0.0 


1.9 


5.7 


5.7 


4.4 


New Mexico 


7.7 


6.1 


9.4 


0.0 


7.5 


New York 


2.3 


2.0 


3.3 


3.9 


3.2 


North Carolina 


0.0 


2.2 


5.0 


0.0 


3.3 


North Dakota 


0.0 


5.0 


4.3 


0.0 


3.2 


Ohio 


4.5 


5.2 


7.7 


14.8 


7.0 


Oklahoma 


0.0 


4.3 


4.4 


11.1 


4.0 


Oregon 


3.6 


17.7 


20.4 


100.0 


17.1 


Pennsylvania 


0.0 


2.3 


2.6 


1.1 


1.9 


Rhode Island 


11.8 


0.0 


4.7 


0.0 


4.0 


South Carolina 


8.8 


4.3 


11.6 


0.0 


8.6 


South Dakota 


0.0 


1.9 


0.0 


n/a 


1.1 


Tennessee 


7.4 


3.2 


5.9 


4.5 


5.3 


Texas 


0.0 


5.5 


6.4 


10.4 


5.4 


Utah 


0.0 


0.0 


12.0 


n/a 


3.7 


Vermont 


6.7 


0.0 


0.0 


n/a 


2.1 


Virginia 


0.0 


2.1 


2.3 


0.0 


1.8 


Washington 


8.0 


6.7 


6.3 


0.0 


6.6 


West Virginia 


3.4 


1.6 


4.2 


0.0 


2.8 


Wisconsin 


0.0 


1.1 


2.7 


5.7 


2.1 


Wyoming 


15.4 


0.0 


8.3 


0.0 


7.5 



Source: OSCAR 
n/a: Data unavailable 



224 



Health Deficiencies Substandard 
Quality of Care 



Table 42 (e). Nursing Home Surveys Resulting in a Citation for Substandard Quality of 
Care by Bed Size Category: United States, 2000 







Percent by Number of Beds 








<50 


50-99 


100-199 


>199 


All Facilities 


Nation 


2.7 


4.6 


5.3 


4.6 


4.6 


Alabama 


0.0 


11.0 


9.6 


11.1 


9.6 


Alaska 


0.0 


0.0 


n/a 


0.0 


0.0 


Arizona 


0.0 


3.3 


3.9 


0.0 


2.8 


Arkansas 


7.1 


5.4 


17.5 


0.0 


11.9 


California 


4.1 


4.5 


1.9 


5.7 


3.9 


Colorado 


2.0 


6.7 


9.3 


0.0 


6.4 


Connecticut 


6.7 


1.3 


1.3 


4.3 


1.9 


Delaware 


0.0 


0.0 


3.7 


0.0 


2.3 


District of Columbia 


0.0 


0.0 


25.0 


0.0 


4.8 


Florida 


1.2 


2.1 


3.2 


0.0 


2.6 


Georgia 


4.2 


1.8 


3.8 


4.3 


3.2 


Hawaii 


11.8 


0.0 


0.0 


0.0 


4.9 


Idaho 


0.0 


4.0 


0.0 


n/a 


1.3 


Illinois 


2.9 


3.6 


3.1 


2.5 


3.1 


Indiana 


9.2 


6.3 


9.6 


9.8 


8.4 


Iowa 


1.3 


3.9 


5.2 


0.0 


3.6 


Kansas 


2.8 


10.2 


14.1 


14.3 


9.0 


Kentucky 


2.9 


12.7 


18.8 


16.7 


12.5 


Louisiana 


4.3 


11.0 


7.9 


4.2 


7.8 


Maine 


4.9 


3.0 


11.8 


0.0 


4.8 


Maryland 


0.0 


1.9 


5.4 


0.0 


3.1 


Massachusetts 


1.1 


3.8 


3.1 


5.3 


3.0 


Michigan 


2.0 


3.5 


5.7 


0.0 


4.2 


Minnesota 


4.8 


2.3 


2.7 


4.3 


2.9 


Mississippi 


3.2 


8.0 


7.9 


0.0 


7.0 


Missouri 


2.6 


3.5 


1.3 


3.1 


2.4 


Montana 


2.5 


3.6 


4.3 


50.0 


4.3 


Nebraska 


0.0 


1.0 


5.1 


0.0 


1.5 


Nevada 


0.0 


16.7 


5.3 


0.0 


6.3 


New Hampshire 


8.3 


0.0 


3.3 


0.0 


2.5 


New Jersey 


0.0 


1.8 


4.3 


7.1 


3.9 


New Mexico 


0.0 


3.1 


9.4 


0.0 


5.1 


New York 


2.1 


1.0 


2.8 


6.0 


3.5 


North Carolina 


0.0 


2.6 


4.2 


5.9 


3.2 


North Dakota 


7.4 


2.8 


0.0 


0.0 


3.4 


Ohio 


1.7 


5.4 


5.8 


7.6 


5.2 


Oklahoma 


0.0 


4.6 


7.3 


14.3 


5.1 


Oregon 


4.3 


3.9 


9.1 


0.0 


5.8 


Pennsylvania 


0.0 


1.7 


1.8 


3.3 


1.6 


Rhode Island 


11.8 


3.4 


0.0 


0.0 


3.2 


South Carolina 


4.7 


1.8 


4.3 


0.0 


3.4 


South Dakota 


0.0 


0.0 


0.0 


n/a 


0.0 


Tennessee 


0.0 


10.8 


4.7 


5.6 


5.8 


Texas 


4.8 


6.7 


10.0 


8.3 


8.2 


Utah 


0.0 


6.3 


0.0 


0.0 


2.1 


Vermont 


0.0 


0.0 


0.0 


n/a 


0.0 


Virginia 


0.0 


3.6 


2.2 


0.0 


2.1 


Washington 


2.0 


9.1 


5.7 


28.6 


7.0 


West Virginia 


0.0 


1.5 


3.6 


0.0 


1.9 


Wisconsin 


0.0 


2.4 


2.8 


2.1 


2.3 


Wyoming 


0.0 


0.0 


14.3 


0.0 


4.8 



Source: OSCAR 
n/a: Data unavailable 



225 



Health Deficiencies Substandard 
Quality of Care 



Table 42 (f). Nursing Home Surveys Resulting in a Citation for Substandard Quality of 
Care by Bed Size Cate gory: United States, 2001 







Percent by Number of Beds 








<50 


50-99 


100-199 


>199 


All Facilities 


Nation 


2.2 


4.2 


5.1 


4.6 


4.3 


Alabama 


0.0 


2.6 


7.5 


0.0 


4.9 


Alaska 


0.0 


20.0 


n/a 


0.0 


5.9 


Arizona 


0.0 


0.0 


0.0 


0.0 


0.0 


Arkansas 


8.7 


14.4 


18.3 


50.0 


16.4 


California 


0.9 


3.2 


4.9 


3.7 


3.2 


Colorado 


0.0 


2.5 


2.3 


0.0 


1.9 


Connecticut 


0.0 


4.2 


2.2 


0.0 


2.5 


Delaware 


0.0 


0.0 


0.0 


0.0 


0.0 


District of Columbia 


0.0 


14.3 


0.0 


33.3 


14.3 


Florida 


1.3 


1.6 


4.3 


5.3 


3.5 


Georgia 


3.7 


1.8 


6.1 


4.5 


4.4 


Hawaii 


16.7 


18.2 


0.0 


0.0 


11.4 


Idaho 


0.0 


0.0 


0.0 


n/a 


0.0 


Illinois 


0.0 


2.1 


4.5 


3.2 


3.0 


Indiana 


4.6 


3.7 


5.0 


13.9 


5.1 


Iowa 


3.4 


6.6 


4.3 


0.0 


5.4 


Kansas 


2.8 


9.9 


7.5 


0.0 


7.3 


Kentucky 


9.1 


13.5 


8.9 


0.0 


10.6 


Louisiana 


2.8 


4.6 


6.3 


5.0 


5.5 


Maine 


9.5 


5.0 


0.0 


0.0 


6.0 


Maryland 


0.0 


0.0 


4.0 


0.0 


2.1 


Massachusetts 


0.0 


0.0 


1.5 


0.0 


0.8 


Michigan 


4.0 


4.8 


2.1 


2.9 


3.2 


Minnesota 


1.8 


2.5 


2.5 


4.3 


2.5 


Mississippi 


0.0 


2.3 


6.5 


50.0 


4.1 


Missouri 


0.0 


1.5 


3.4 


5.6 


2.3 


Montana 


5.4 


4.3 


3.8 


0.0 


4.5 


Nebraska 


1.9 


4.1 


5.4 


0.0 


3.7 


Nevada 


0.0 


0.0 


0.0 


16.7 


2.0 


New Hampshire 


7.7 


0.0 


6.7 


0.0 


4.0 


New Jersey 


5.3 


0.0 


6.9 


7.3 


5.6 


New Mexico 


7.1 


3.4 


10.7 


0.0 


6.9 


New York 


2.3 


2.0 


5.7 


4.2 


4.2 


North Carolina 


0.0 


1.4 


6.6 


6.7 


4.2 


North Dakota 


0.0 


0.0 


4.3 


0.0 


1.1 


Ohio 


1.4 


2.2 


4.8 


6.3 


3.6 


Oklahoma 


2.9 


13.1 


11.5 


0.0 


10.7 


Oregon 


4.3 


4.9 


10.9 


0.0 


6.8 


Pennsylvania 


0.0 


0.6 


2.2 


0.0 


1.2 


Rhode Island 


0.0 


0.0 


2.6 


0.0 


1.1 


South Carolina 


0.0 


8.5 


6.5 


16.7 


5.9 


South Dakota 


0.0 


0.0 


7.1 


n/a 


1.0 


Tennessee 


1.8 


4.7 


5.3 


0.0 


4.3 


Texas 


3.2 


6.8 


7.5 


8.8 


6.8 


Utah 


6.7 


7.1 


3.0 


33.3 


6.4 


Vermont 


0.0 


0.0 


0.0 


n/a 


0.0 


Virginia 


0.0 


5.7 


2.5 


5.6 


3.5 


Washington 


0.0 


5.9 


11.4 


0.0 


7.0 


West Virginia 


4.5 


2.0 


0.0 


0.0 


1.8 


Wisconsin 


0.0 


3.8 


3.2 


4.4 


3.3 


Wyoming 


0.0 


0.0 


7.7 


n/a 


2.6 



Scource: OSCAR 
n/a: Data unavailable 



226 



Health Deficiencies Substandard 
Quality of Care 



Table 43 (a). Nursing Home Surveys Resulting in a Citation for Substandard 
Quality of Care by Type of Ownership: United States, 1996 

Percentile by Ownership 



For- Profit 



Non-Profit 



Government 



Nation 

Alabama 

Alaska 

Arizona 

Arkansas 

California 



Colorado 

Connecticut 

Delaware 

District of Columbia 

Florida 



Georgia 

Hawaii 

Idaho 

Illinois 

Indiana 



Iowa 

Kansas 

Kentucky 

Louisiana 

Maine 



Maryland 

Massachusetts 

Michigan 

Minnesota 

Mississippi 



Missouri 

Montana 

Nebraska 

Nevada 

New Hampshire 



New Jersey 
New Mexico 
New York 
North Carolina 
North Dakota 



Ohio 

Oklahoma 
Oregon 
Pennsylvania 
Rhode Island 



South Carolina 
South Dakota 
Tennessee 
Texas 
Utah 



Vermont 

Virginia 

Washington 

West Virginia 

Wisconsin 

Wyoming 



Source: OSCAR 
n/a: Data unavailable 



6.7 

1.8 
0.0 
1.1 

4.9 
9.1 



6.8 
3.9 
5.0 
0.0 
12.9 



16.1 
0.0 
4.1 
3.6 

10.1 



2.2 
17.9 
4.8 
0.4 
7.1 



5.3 

3.0 
7.8 
1.4 
6.5 



7.4 

13.2 

9.3 

8.6 

10.4 



3.5 
1.9 

2.0 

5.1 

10.0 



5.8 
2.6 
13.3 
2.7 
1.4 



8.7 
0.0 
3.8 
8.6 
4.1 



0.0 
10.9 
7.9 
8.9 
2.7 
0.0 



4.2 

12.9 
0.0 
0.0 
0.0 
6.3 



0.0 
1.9 
7.1 
0.0 
12.9 



20.5 
0.0 
0.0 
2.6 
6.8 



2.1 
15.6 
3.1 
0.0 
3.1 



4.5 

3.1 
9.5 
1.9 
0.0 



1.3 
0.0 
7.2 
14.3 
0.0 



6.4 
0.0 
1.7 
1.1 
0.0 



4.7 
3.4 
5.9 
2.1 
3.8 



0.0 
0.0 
3.8 
2.6 
0.0 



0.0 
5.9 
3.2 
0.0 
3.6 
0.0 



4.0 

0.0 
0.0 
0.0 
0.0 



0.0 
0.0 
0.0 
0.0 
20.0 



11.1 

0.0 

15.0 

0.0 

6.7 



0.0 
13.3 
0.0 
0.0 
0.0 



0.0 
7.1 
2.4 
0.0 
0.0 



6.0 

0.0 
3.4 
0.0 
0.0 



0.0 
0.0 
3.9 
0.0 
0.0 



0.0 
0.0 
2.0 
n/a 



5.0 
0.0 
13.8 
0.0 
0.0 



0.0 
25.0 
0.0 
0.0 
0.0 
7.1 



All Facilities 



5.8 

3.2 

0.0 
0.7 
4.0 
8.5 



4.2 
3.5 
5.4 
0.0 
13.0 



16.5 

0.0 
6.1 
3.1 
9.3 



2.1 
16.6 
4.1 
0.3 
5.9 



4.8 
3.2 

7.8 
1.5 
4.5 



5.7 
5.1 
7.2 
8.3 
5.4 



4.1 
1.1 
2.0 
4.0 
1.1 



5.7 
2.5 
11.3 
2.4 
2.0 



6.7 
0.0 
4.6 
7.5 
3.2 



0.0 
9.9 
6.3 
6.0 
2.6 
2.6 



* 



227 



Health Deficiencies Substandard 
Quality of Care 



Table 43 (b). Nursing Home Surveys Resulting in a Citation for Substandard 
Quality of Care by Type of Ownership: United States, 1997 

Percentile by Ownership 



For-Profit 



Non-Profit 



Government 



All Facilities 



Nation 

Alabama 

Alaska 

Arizona 

Arkansas 

California 



5.6 

3.2 
0.0 
2.6 
2.7 



3.3 

7.1 
0.0 
0.0 
0.0 
3.8 



3.2 

5.6 

0.0 
0.0 
0.0 
5.2 



4.8 

4.0 
0.0 
1.7 
2.1 
7.3 



Colorado 

Connecticut 

Delaware 

District of Columbia 

Florida 



0.7 

3.3 

0.0 

10.0 

10.3 



1.5 
1.6 
0.0 
0.0 
5.9 



0.0 
50.0 
0.0 
0.0 
0.0 



0.8 
3.3 
0.0 
3.8 
9.3 



Georgia 

Hawaii 

Idaho 

Illinois 

Indiana 



6.3 
5.6 
11.5 
3.0 
5.8 



6.3 

0.0 
0.0 
3.0 
0.8 



0.0 
20.0 
21.1 

2.2 
12.5 



5.9 
7.1 
11.9 
2.9 
4.9 



Iowa 

Kansas 

Kentucky 

Louisiana 

Maine 



2.8 
17.6 
5.9 
1.4 
8.1 



6.5 

9.8 
1.2 
1.4 
6.3 



0.0 
12.7 
0.0 
0.0 
0.0 



4.2 

14.5 

4.2 

1.3 

7.4 



Maryland 

Massachusetts 

Michigan 

Minnesota 

Mississippi 



5.1 
6.0 
4.0 
1.6 
4.8 



5.3 

2.1 
3.6 
0.9 
5.7 



0.0 
0.0 
2.4 
0.0 
3.3 



5.0 
4.9 
3.7 
1.0 
4.8 



Missouri 

Montana 

Nebraska 

Nevada 

New Hampshire 



4.8 
5.3 
1.8 
6.5 
10.2 



1.3 

2.2 

7.5 

33.3 

3.4 



0.0 
5.0 
1.8 
12.5 
7.7 



3.5 
3.8 
3.7 
9.5 
7.7 
3.4 
1.3 
0.5 
3.9 
5.3 
6.5 
1.4 
7.7 
2.9 
2.1 
6.1 
0.0 
1.1 
6.0 
0.0 
2.6 
7.3 
9.2 
5.7 
3.4 
5.4 



New Jersey 
New Mexico 
New York 
North Carolina 
North Dakota 



4.3 
2.3 
0.7 
5.0 
0.0 



2.0 

0.0 
0.4 
1.2 
6.2 



0.0 
0.0 
0.0 
0.0 
0.0 



Ohio 

Oklahoma 
Oregon 
Pennsylvania 
Rhode Island 



6.5 
1.4 
5.9 
2.7 
1.4 



6.4 
1.8 
15.6 
3.1 
4.0 



6.7 
0.0 
0.0 
2.2 
n/a 



South Carolina 
South Dakota 
Tennessee 
Texas 
Utah 



8.1 
0.0 
1.2 
6.7 
0.0 



0.0 
0.0 
1.2 
2.9 
0.0 



0.0 
0.0 
0.0 
2.6 
0.0 



Vermont 

Virginia 

Washington 

West Virginia 

Wisconsin 

Wyoming 



3.4 
9.5 
11.4 
9.3 
4.9 
5.9 



0.0 
3.8 
2.8 
0.0 
2.4 
0.0 



n/a 
0.0 
8.7 
0.0 
1.6 
7.1 



Source: OSCAR 
n/a: Data unavailable 



228 



Health Deficiencies Substandard 
Quality of Care 



Table 43 (c). N 
Quality of Care 



ursing Home Surveys Resulting in a Citation for Substandard 
by Type of Ownership: United States, 1998 







Percentile by Ownership 








For- Profit 


Non-Profit Government 


All Facilities 


ation 


6.3 


3.8 


4.4 


5.5 


Alabama 


0.0 


3.2 


4.5 


0.9 


Alaska 


0.0 


10.0 


0.0 


6.3 


Arizona 


6.0 


0.0 


0.0 


3.8 


Arkansas 


8.2 


4.8 


7.1 


7.6 


California 


9.6 


3.2 


10.9 


8.2 


Colorado 


1.4 


1.6 


8.7 


2.2 


Connecticut 


4.7 


2.0 


0.0 


4.1 


Delaware 


9.1 


0.0 


0.0 


3.6 


District of Columbia 


25.0 


9.1 


0.0 


11.8 


Florida 


11.8 


4.8 


7.1 


10.2 


Georgia 


4.5 


5.4 


0.0 


4.4 


Hawaii 


5.3 


7.1 


18.2 


9.1 


Idaho 


17.6 


0.0 


5.3 


11.9 


Illinois 


5.3 


3.0 


8.2 


4.7 


Indiana 


9.4 


10.0 


6.7 


9.5 


Iowa 


3.5 


3.2 


14.3 


3.8 


Kansas 


13.1 


8.8 


6.1 


10.6 


Kentucky 


9.9 


5.6 


33.3 


9.1 


Louisiana 


3.3 


1.3 


0.0 


2.6 


Maine 


6.1 


10.0 


0.0 


6.8 


Maryland 


3.4 


1.2 


0.0 


2.4 


Massachusetts 


4.0 


2.8 


0.0 


3.6 


Michigan 


6.3 


7.2 


2.4 


6.2 


Minnesota 


7.2 


8.9 


3.6 


7.7 


Mississippi 


4.9 


2.8 


6.3 


4.8 


Missouri 


8.0 


1.4 


7.5 


6.1 


Montana 


8.8 


6.8 


0.0 


6.4 


Nebraska 


2.7 


2.7 


1.9 


2.5 


Nevada 


23.7 


0.0 


0.0 


18.8 


New Hampshire 


4.3 


4.2 


7.7 


4.8 


New Jersey 


2.9 


0.0 


5.9 


2.0 


New Mexico 


4.3 


4.8 


0.0 


4.1 


New York 


1.1 


0.0 


0.0 


0.5 


North Carolina 


3.9 


3.1 


0.0 


3.6 


North Dakota 


0.0 


5.0 


0.0 


4.3 


Ohio 


8.1 


8.5 


7.1 


8.2 


Oklahoma 


3.0 


2.1 


0.0 


2.8 


Oregon 


13.6 


5.6 


0.0 


11.3 


Pennsylvania 


3.5 


2.3 


0.0 


2.7 


Rhode Island 


3.8 


0.0 


n/a 


3.0 


South Carolina 


3.9 


4.2 


5.3 


4.1 


South Dakota 


0.0 


0.0 


0.0 


0.0 


Tennessee 


4.4 


2.4 


11.4 


4.6 


Texas 


5.5 


3.4 


0.0 


5.0 


Utah 


5.4 


6.3 


0.0 


5.3 


Vermont 


0.0 


8.3 


0.0 


2.6 


Virginia 


2.7 


1.2 


0.0 


2.1 


Washington 


9.8 


7.4 


0.0 


8.5 


West Virginia 


1.9 


0.0 


0.0 


1.2 


Wisconsin 


4.7 


0.0 


0.0 


2.3 


Wyoming 


0.0 


0.0 


5.6 


2.3 



Source: OSCAR 
n/a: Data unavailable 



229 



Health Deficiencies Substandard 
Quality of Care 



Table 43 (d). Nursing Home Surveys Resulting in a Citation for Substandard 
Quality of Care by Type of Ownership: United States, 1999 

Percentile by Ownership 



For-Profit 



Non- Profit 



Government 



All Facilities 



Nation 

Alabama 

Alaska 

Arizona 

Arkansas 

California 



6.1 

2.6 

100.0 

5.3 

15.3 

7.3 



3.2 

3.7 
10.0 

0.0 
17.9 

4.0 



4.7 

19.0 
0.0 
0.0 
0.0 
4.7 



5.2 

4.4 
12.5 

3.4 
14.9 

6.5 



Colorado 

Connecticut 

Delaware 

District of Columbia 

Florida 



1.3 
3.7 
6.3 
0.0 
8.1 



3.3 

1.7 
0.0 
0.0 



0.0 

0.0 

33.3 

100.0 

0.0 



1.7 

3.2 

5.7 
6.7 
7.2 



Georgia 

Hawaii 

Idaho 

Illinois 

Indiana 



3.3 

0.0 
9.6 
4.9 
9.7 



6.6 
0.0 
0.0 
2.3 

4.5 



8.0 
9.1 
10.5 
0.0 
0.0 



4.2 
2.3 
8.3 
3.9 
8.1 
2.5 
5.9 
8.3 
4.0 
8.4 



Iowa 

Kansas 

Kentucky 

Louisiana 

Maine 



4.8 
9.9 
8.3 
4.3 
8.7 



0.0 
2.1 
8.2 
1.4 
9.1 



0.0 
0.0 
10.0 
7.4 
0.0 



Maryland 

Massachusetts 

Michigan 

Minnesota 

Mississippi 



11.5 
4.0 
9.3 
1.6 
6.7 



3.4 

1.7 
5.4 
5.6 
0.0 



16.7 
0.0 
0.0 
3.4 
3.8 



3.3 
7.3 
4.2 
5.3 



Missouri 

Montana 

Nebraska 

Nevada 

New Hampshire 



8.7 
0.0 
1.9 
6.5 
5.6 



2.0 
1.2 
0.0 
4.3 



4.1 

0.0 

4.1 

20.0 

20.0 



7.2 
1.0 
2.1 
6.8 
7.2 



New Jersey 
New Mexico 
New York 
North Carolina 
North Dakota 



4.0 
10.4 
3.5 
4.1 
8.3 



3.0 

0.0 
3.0 
1.1 
2.6 



16.7 

20.0 

2.2 

0.0 

0.0 



4.4 
7.5 
3.2 
3.3 
3.2 



Ohio 

Oklahoma 
Oregon 
Pennsylvania 
Rhode Island 



7.9 
3.5 
20.4 
1.5 
5.4 



3.6 

4.3 
6.3 
2.2 
0.0 



13.3 
11.8 
16.7 
2.2 
n/a 



7.0 
4.0 
17.1 
1.9 
4.0 



South Carolina 
South Dakota 
Tennessee 
Texas 
Utah 



9.5 
0.0 
5.8 
5.9 

4.8 



5.3 

2.0 
5.1 
3.3 
0.0 



5.9 
0.0 
2.9 
2.5 
0.0 



8.6 

1.1 
5.3 
5.4 
3.7 



Vermont 

Virginia 

Washington 

West Virginia 

Wisconsin 

Wyoming 



3.3 
2.2 
8.4 
3.3 
2.4 
5.6 



0.0 
1.1 
0.0 
0.0 
1.3 
0.0 



0.0 
0.0 
8.7 
6.7 
3.2 
11.8 



2.1 
1.8 
6.6 
2.8 
2.1 
7.5 



Source: OSCAR 
n/a: Data unavailable 



230 



Health Deficiencies Substandard 
Quality of Care 



Table 43 (e). Nursing Home Surveys Resulting in a Citation for Substandard 
Quality of Care by Type of Ownership: United States, 2000 

Percentile by Ownership 



For-Profit 



Non-Profit 



Government 



All-Facilities 



Nation 

Alabama 

Alaska 

Arizona 

Arkansas 

California 



5.3 

9.2 
n/a 
3.2 
13.0 
3.5 



3.3 

7.1 
0.0 
0.0 
9.5 
4.5 



3.6 

15.8 
0.0 

25.0 
0.0 
6.8 



4.6 

9.6 
0.0 
2.8 
11.9 
3.9 



Colorado 

Connecticut 

Delaware 

District of Columbia 

Florida 



6.5 
1.9 
0.0 
16.7 
2.9 



8.6 
1.7 
5.3 
0.0 
1.9 



0.0 
0.0 
0.0 
0.0 
0.0 



6.4 

1.9 
2.3 
4.8 
2.6 



Georgia 

Hawaii 

Idaho 

Illinois 

Indiana 



3.4 
0.0 
2.2 
3.2 
9.8 



3.6 

6.7 
0.0 
3.1 
5.1 



0.0 
11.1 
0.0 
2.4 
0.0 



3.2 
4.9 
1.3 
3.1 



Iowa 

Kansas 

Kentucky 

Louisiana 

Maine 



3.8 

11.8 

13.3 

9.3 

3.2 



3.3 

5.4 

11.8 

3.4 

7.1 



5.3 

7.7 

0.0 

0.0 

25.0 



3.6 
9.0 
12.5 
7.8 
4.8 



Maryland 

Massachusetts 

Michigan 

Minnesota 

Mississippi 



3.3 
4.1 
5.9 
6.2 
6.2 



2.0 
0.7 
1.5 
1.6 
13.3 



11.1 
0.0 
0.0 
1.6 
4.2 



3.1 
3.0 
4.2 
2.9 
7.0 



Missouri 

Montana 

Nebraska 

Nevada 

New Hampshire 



2.4 

5.7 
0.0 
8.8 
2.5 



0.7 
2.3 
1.4 
0.0 
3.7 



7.3 
6.7 
4.7 
0.0 
0.0 



2.4 
4.3 
1.5 
6.3 
2.5 
3.9 
5.1 
3.5 
3.2 
3.4 
5.2 
5.1 
5.8 
1.6 
3.2 
3.4 
0.0 
5.8 
8.2 
2.1 
0.0 
2.1 
7.0 
1.9 
2.3 
4.8 



New Jersey 
New Mexico 
New York 
North Carolina 
North Dakota 



4.3 
8.2 
3.1 
3.8 
0.0 



2.7 
0.0 
4.2 
2.0 
2.8 



6.7 
0.0 
2.0 
0.0 
33.3 



Ohio 

Oklahoma 
Oregon 
Pennsylvania 
Rhode Island 



5.5 

5.8 
6.0 
2.4 
1.3 



4.7 
2.3 
6.1 
1.2 
11.1 



3.1 
0.0 
0.0 
0.0 
n/a 



South Carolina 
South Dakota 
Tennessee 
Texas 
Utah 



3.9 

0.0 
5.3 
8.7 
2.6 



4.0 
0.0 
2.9 
7.1 
0.0 



0.0 
0.0 
15.6 
0.0 
0.0 



Vermont 

Virginia 

Washington 

West Virginia 

Wisconsin 

Wyoming 



0.0 
3.4 
9.6 
2.9 
0.5 
9.1 



0.0 
0.0 
1.6 
0.0 
3.4 
0.0 



0.0 
0.0 
0.0 
0.0 
5.2 
0.0 



Source: OSCAR 
n/a: Data unavailable 



231 



Health Deficiencies Substandard 
Quality of Care 



Table 43 (f). 


Nursing Home Surveys Resulting 


in a Citation for Substandard 




Quality of Care by Type of Ownership: 


United States, 


2001 












Percentile by Ownership 










For-Profit 


Non 


-Profit 


Government 


All Facilities 


ation 


5.1 




2.9 




2.3 




4.3 


Alabama 


5.0 




7.4 




0.0 




4.9 


Alaska 


0.0 




10.0 




0.0 




5.9 


Arizona 


0.0 




0.0 




0.0 




0.0 


Arkansas 


16.5 




14.6 




22.2 




16.4 


California 


3.8 




0.9 




2.2 




3.2 


Colorado 


2.8 




0.0 




0.0 




1.9 


Connecticut 


3.3 




0.0 




0.0 




2.5 


Delaware 


0.0 




0.0 




0.0 




0.0 


District of Columbia 


33.3 




7.7 




0.0 




14.3 


Florida 


4.3 




1.3 




0.0 




3.5 


Georgia 


5.1 




3.4 




0.0 




4.4 


Hawaii 


12.5 




15.4 




0.0 




11.4 


Idaho 


0.0 




0.0 




0.0 




0.0 


Illinois 


3.6 




1.4 




2.9 




3.0 


Indiana 


5.5 




4.4 




0.0 




5.1 


Iowa 


6.9 




4.2 




0.0 




5.4 


Kansas 


10.4 




3.3 




5.7 




7.3 


Kentucky 


12.9 




6.7 




0.0 




10.6 


Louisiana 


4.5 




9.8 




4.8 




5.5 


Maine 


4.8 




7.1 




16.7 




6.0 


Maryland 


3.8 




0.0 




0.0 




2.1 


Massachusetts 


0.9 




0.7 




0.0 




0.8 


Michigan 


4.5 




0.8 




2.1 




3.2 


Minnesota 


5.7 




1.7 




0.0 




2.5 


Mississippi 


3.6 




7.4 




3.6 




4.1 


Missouri 


3.2 




0.8 




0.0 




2.3 


Montana 


3.6 




7.3 




0.0 




4.5 


Nebraska 


4.1 




3.6 




2.6 




3.7 


Nevada 


2.7 




0.0 




0.0 




2.0 


New Hampshire 


7.5 




0.0 




0.0 




4.0 


New Jersey 


7.0 




3.9 




0.0 




5.6 


New Mexico 


10.6 




0.0 




0.0 




6.9 


New York 


4.9 




4.0 




2.0 




4.2 


North Carolina 


4.8 




2.1 




4.3 




4.2 


North Dakota 


0.0 




1.3 




0.0 




1.1 


Ohio 


4.5 




1.6 




0.0 




3.6 


Oklahoma 


12.0 




4.8 




0.0 




10.7 


Oregon 


7.7 




5.7 




0.0 




6.8 


Pennsylvania 


1.5 




1.1 




0.0 




1.2 


Rhode Island 


1.4 




0.0 




n/a 




1.1 


South Carolina 


5.6 




9.5 




4.3 




5.9 


South Dakota 


0.0 




1.6 




0.0 




1.0 


Tennessee 


3.5 




4.7 




10.3 




4.3 


Texas 


6.7 




6.7 




10.5 




6.8 


Utah 


6.6 




5.9 




0.0 




6.4 


Vermont 


0.0 




0.0 




0.0 




0.0 


Virginia 


4.9 




1.1 




0.0 




3.5 


Washington 


9.7 




1.8 




0.0 




7.0 


West Virginia 


1.4 




3.6 




0.0 




1.8 


Wisconsin 


3.4 




3.9 




1.6 




3.3 


Wyoming 


7.1 




0.0 




0.0 




2.6 



Source: OSCAR 
n/a: Data unavailable 



232 



Health Deficiencies Substandard 
Quality of Care 



Table 44 (a). Nursing Home Surveys Resulting in a Citation for Abuse of Residents by 
Bed Size Category: United States, 1996 







Percent by Number of Beds 








<50 


50-99 


100-199 


>199 


All Facilities 


ation 


0.9 


1.4 


1.8 


2.4 


1.6 


Alabama 


0.0 


1.2 


0.0 


0.0 


0.5 


Alaska 


0.0 


0.0 


n/a 


0.0 


0.0 


Arizona 


0.0 


0.0 


0.0 


0.0 


0.0 


Arkansas 


3.0 


1.6 


0.7 


0.0 


1.3 


California 


1.9 


5.1 


4.4 


11.1 


4.5 


Colorado 


1.8 


0.0 


0.0 


0.0 


0.5 


Connecticut 


0.0 


0.0 


1.4 


4.0 


1.2 


Delaware 


0.0 


0.0 


0.0 


n/a 


0.0 


District of Columbia 


0.0 


0.0 


0.0 


0.0 


0.0 


Florida 


0.0 


0.8 


2.5 


6.1 


2.0 


Georgia 


0.0 


0.0 


0.0 


0.0 


0.0 


Hawaii 


0.0 


0.0 


0.0 


0.0 


0.0 


Idaho 


3.0 


0.0 


13.0 


0.0 


4.9 


Illinois 


0.0 


0.7 


1.2 


5.1 


1.5 


Indiana 


3.9 


1.7 


4.1 


1.9 


3.1 


Iowa 


0.0 


0.0 


0.9 


0.0 


0.2 


Kansas 


1.7 


0.4 


1.1 


0.0 


0.8 


Kentucky 


0.0 


0.0 


1.0 


0.0 


0.3 


Louisiana 


0.0 


0.0 


0.9 


0.0 


0.5 


Maine 


2.6 


0.0 


0.0 


0.0 


0.7 


Maryland 


0.0 


4.1 


0.9 


6.5 


2.2 


Massachusetts 


0.8 


0.0 


1.1 


0.0 


0.7 


Michigan 


6.7 


2.9 


8.0 


6.8 


6.2 


Minnesota 


0.0 


0.5 


0.7 


0.0 


0.5 


Mississippi 


2.4 


1.3 


2.7 


0.0 


2.0 


Missouri 


0.0 


0.9 


1.7 


3.6 


1.2 


Montana 


2.4 


3.0 


4.8 


0.0 


3.1 


Nebraska 


0.0 


0.0 


0.0 


0.0 


0.0 


Nevada 


0.0 


0.0 


18.8 


0.0 


6.3 


New Hampshire 


0.0 


5.1 


0.0 


0.0 


2.2 


New Jersey 


0.0 


0.0 


1.0 


1.5 


0.8 


New Mexico 


0.0 


0.0 


2.7 


0.0 


1.1 


New York 


0.0 


0.0 


0.4 


0.4 


0.3 


North Carolina 


0.0 


0.7 


0.0 


0.0 


0.3 


North Dakota 


0.0 


0.0 


0.0 


0.0 


0.0 


Ohio 


1.2 


0.3 


1.3 


0.0 


0.9 


Oklahoma 


0.0 


0.5 


0.0 


0.0 


0.2 


Oregon 


2.7 


7.0 


0.0 


0.0 


3.6 


Pennsylvania 


0.0 


2.3 


2.4 


2.0 


1.9 


Rhode Island 


0.0 


0.0 


0.0 


0.0 


0.0 


South Carolina 


0.0 


4.6 


6.0 


0.0 


3.9 


South Dakota 


0.0 


0.0 


0.0 


0.0 


0.0 


Tennessee 


0.0 


1.0 


0.6 


0.0 


0.6 


Texas 


0.0 


1.4 


2.2 


0.0 


1.5 


Utah 


0.0 


2.9 


0.0 


0.0 


1.1 


Vermont 


0.0 


0.0 


0.0 


n/a 


0.0 


Virginia 


0.0 


1.2 


0.0 


4.8 


0.7 


Washington 


0.0 


1.8 


4.0 


0.0 


2.4 


West Virginia 


0.0 


0.0 


7.7 


0.0 


2.6 


Wisconsin 


2.4 


1.5 


0.0 


1.8 


1.1 


Wyoming 


0.0 


0.0 


0.0 


0.0 


0.0 



Source: OSCAR 

n/a: Data unavailable 

Abuse citations are those deficiencies cited under tag F223 of the Interpretive Guidelines in the "State Operations Manual for Provider Certification" 

233 



Health Deficiencies Abuse 



Table 44 (b). Nursing Home Surveys Resulting in a Citation for Abuse of Residents by 
Bed Size Category: United States, 1997 







Percent by Number of Beds 








<50 


50-99 


100-199 


>199 


All Facilities 


ation 


0.7 


1.6 


1.8 


2.1 


1.6 


Alabama 


0.0 


0.0 


0.0 


0.0 


0.0 


Alaska 


0.0 


0.0 


n/a 


0.0 


0.0 


Arizona 


0.0 


0.0 


0.0 


0.0 


0.0 


Arkansas 


0.0 


0.0 


1.4 


0.0 


0.7 


California 


1.3 


4.5 


7.0 


6.5 


4.4 


Colorado 


0.0 


0.0 


0.0 


0.0 


0.0 


Connecticut 


0.0 


4.9 


2.6 


7.4 


3.6 


Delaware 


0.0 


0.0 


0.0 


0.0 


0.0 


District of Columbia 


0.0 


0.0 


0.0 


0.0 


0.0 


Florida 


0.0 


1.5 


4.4 


6.5 


3.3 


Georgia 


0.0 


0.0 


0.5 


0.0 


0.3 


Hawaii 


7.1 


0.0 


0.0 


0.0 


2.4 


Idaho 


3.1 


8.0 


7.4 


n/a 


6.0 


Illinois 


0.9 


0.7 


0.9 


3.2 


1.2 


Indiana 


1.6 


4.1 


5.5 


5.3 


4.2 


Iowa 


0.0 


0.7 


0.0 


0.0 


0.4 


Kansas 


0.9 


2.1 


2.2 


0.0 


1.8 


Kentucky 


0.0 


1.9 


0.0 


0.0 


0.8 


Louisiana 


0.0 


0.0 


0.4 


0.0 


0.3 


Maine 


0.0 


0.0 


0.0 


0.0 


0.0 


Maryland 


0.0 


0.0 


0.0 


0.0 


0.0 


Massachusetts 


0.0 


0.6 


1.0 


4.8 


0.9 


Michigan 


0.0 


1.6 


5.8 


8.6 


4.2 


Minnesota 


0.0 


0.0 


0.0 


0.0 


0.0 


Mississippi 


0.0 


1.3 


0.0 


0.0 


0.5 


Missouri 


0.0 


0.4 


0.0 


0.0 


0.2 


Montana 


2.4 


5.7 


8.0 


0.0 


4.8 


Nebraska 


0.0 


0.8 


0.0 


0.0 


0.4 


Nevada 


0.0 


0.0 


13.3 


0.0 


4.8 


New Hampshire 


0.0 


4.9 


0.0 


0.0 


2.2 


New Jersey 


0.0 


2.1 


0.5 


0.0 


0.6 


New Mexico 


0.0 


0.0 


0.0 


0.0 


0.0 


New York 


0.0 


0.0 


0.0 


0.0 


0.0 


North Carolina 


0.0 


0.7 


1.5 


0.0 


1.0 


North Dakota 


0.0 


3.0 


0.0 


0.0 


1.3 


Ohio 


0.7 


1.2 


0.4 


0.0 


0.6 


Oklahoma 


0.0 


0.5 


0.0 


14.3 


0.5 


Oregon 


9.1 


0.0 


3.7 


0.0 


3.2 


Pennsylvania 


0.6 


0.6 


1.5 


3.3 


1.3 


Rhode Island 


0.0 


0.0 


0.0 


0.0 


0.0 


South Carolina 


2.6 


6.3 


10.0 


16.7 


7.3 


South Dakota 


0.0 


1.4 


0.0 


0.0 


1.0 


Tennessee 


0.0 


0.0 


0.6 


0.0 


0.3 


Texas 


1.3 


0.9 


1.7 


0.0 


1.3 


Utah 


0.0 


2.9 


0.0 


0.0 


1.0 


Vermont 


0.0 


0.0 


0.0 


n/a 


0.0 


Virginia 


0.0 


2.5 


2.8 


0.0 


2.0 


Washington 


2.0 


2.5 


2.5 


10.0 


2.7 


West Virginia 


0.0 


0.0 


0.0 


0.0 


0.0 


Wisconsin 


0.0 


0.5 


1.3 


0.0 


0.7 


Wyoming 


0.0 


18.8 


0.0 


0.0 


8.1 



Source: OSCAR 

n/a: Data unavailable 

Abuse citations are those deficiencies cited under tag F223 of the Interpretive Guidelines in the "State Operations Manual for Provider Certification" 



234 



Health Deficiencies Abuse 



Table 44 (c). Nursing Home Surveys Resulting in a Citation for Abuse of Residents by 
Bed Size Category: United States, 1998 







Percent by Number of Beds 








<50 


50-99 


100-199 


>199 


All Facilities 


Nation 


0.9 


1.8 


2.0 


2.6 


1.8 


Alabama 


0.0 


1.2 


0.0 


0.0 


0.4 


Alaska 


0.0 


0.0 


n/a 


0.0 


0.0 


Arizona 


0.0 


0.0 


0.0 


0.0 


0.0 


Arkansas 


0.0 


1.0 


1.6 


0.0 


1.1 


California 


1.8 


4.8 


6.5 


13.8 


5.0 


Colorado 


3.6 


1.3 


0.0 


11.1 


1.8 


Connecticut 


6.7 


5.7 


6.6 


4.5 


6.1 


Delaware 


0.0 


0.0 


0.0 


0.0 


0.0 


District of Columbia 


0.0 


0.0 


0.0 


0.0 


0.0 


Florida 


1.0 


2.3 


3.9 


13.9 


3.7 


Georgia 


0.0 


2.4 


0.0 


0.0 


0.8 


Hawaii 


0.0 


0.0 


0.0 


25.0 


2.3 


Idaho 


3.6 


3.8 


16.7 


n/a 


8.3 


Illinois 


1.7 


1.8 


1.8 


0.0 


1.5 


Indiana 


0.8 


2.4 


7.7 


5.5 


4.3 


Iowa 


1.3 


0.4 


0.9 


0.0 


0.6 


Kansas 


2.5 


2.0 


5.3 


0.0 


2.7 


Kentucky 


0.0 


0.8 


0.0 


0.0 


0.3 


Louisiana 


0.0 


0.0 


0.0 


0.0 


0.0 


Maine 


0.0 


0.0 


5.9 


0.0 


0.8 


Maryland 


0.0 


0.0 


3.2 


0.0 


1.5 


Massachusetts 


0.0 


0.0 


0.8 


4.8 


0.6 


Michigan 


2.2 


3.2 


5.0 


3.1 


4.0 


Minnesota 


0.0 


0.5 


0.7 


0.0 


0.5 


Mississippi 


0.0 


0.0 


0.0 


0.0 


0.0 


Missouri 


0.0 


0.0 


0.0 


0.0 


0.0 


Montana 


2.6 


0.0 


0.0 


0.0 


1.1 


Nebraska 


0.0 


0.8 


0.0 


0.0 


0.4 


Nevada 


0.0 


0.0 


5.6 


25.0 


4.2 


New Hampshire 


0.0 


0.0 


0.0 


0.0 


0.0 


New Jersey 


0.0 


1.6 


1.6 


1.9 


1.5 


New Mexico 


0.0 


3.6 


0.0 


0.0 


1.4 


New York 


0.0 


1.0 


0.0 


0.5 


0.4 


North Carolina 


0.0 


0.0 


2.4 


0.0 


1.2 


North Dakota 


0.0 


0.0 


0.0 


0.0 


0.0 


Ohio 


0.0 


0.4 


0.9 


1.4 


0.6 


Oklahoma 


0.0 


2.1 


0.7 


0.0 


1.3 


Oregon 


5.7 


2.9 


3.8 


0.0 


3.8 


Pennsylvania 


0.0 


1.2 


1.1 


3.1 


1.1 


Rhode Island 


0.0 


0.0 


0.0 


12.5 


1.0 


South Carolina 


0.0 


6.5 


7.5 


20.0 


5.9 


South Dakota 


0.0 


0.0 


0.0 


0.0 


0.0 


Tennessee 


1.7 


1.0 


0.5 


4.2 


1.1 


Texas 


0.0 


1.5 


1.0 


0.0 


0.9 


Utah 


0.0 


3.4 


0.0 


0.0 


1.1 


Vermont 


0.0 


0.0 


0.0 


n/a 


0.0 


Virginia 


2.9 


0.0 


3.6 


0.0 


2.1 


Washington 


1.9 


7.9 


3.7 


12.5 


5.3 


West Virginia 


0.0 


2.9 


3.4 


n/a 


2.5 


Wisconsin 


2.5 


0.5 


0.0 


0.0 


0.5 


Wyoming 


0.0 


5.9 


0.0 


0.0 


2.3 



Source: OSCAR 
n/a: Data unavailable 

Abuse citations are those deficiencies cited under tag F223 of the Interpretive Guidelines in the "State Operations Manual for Provider Certification" 



235 



Health Deficiencies Abuse 



Table 44 (d). Nursing Home Surveys Resulting in a Citation for Abuse of Residents by 
Bed Size Category: United States, 1999 

Percent by Number of Beds 



<50 



50-99 



100-199 



>199 



All Facilities 



Nation 

Alabama 

Alaska 

Arizona 

Arkansas 

California 



0.7 

0.0 
0.0 
0.0 
0.0 
2.4 



1.8 

1.3 

0.0 
5.0 
3.6 

4.8 



2.6 

1.0 
n/a 
8.3 
1.6 
9.4 



4.3 

0.0 
0.0 
0.0 
0.0 
14.8 



2.1 

1.0 
0.0 
5.7 
2.1 
5.8 



Colorado 

Connecticut 

Delaware 

District of Columbia 

Florida 



0.0 
0.0 
0.0 
0.0 
1.0 



0.0 
9.3 
0.0 
0.0 
2.9 



0.0 
11.5 
0.0 
0.0 
3.6 



0.0 
12.0 

0.0 
25.0 

2.7 



0.0 
10.3 
0.0 
6.7 
3.1 



Georgia 

Hawaii 

Idaho 

Illinois 

Indiana 



0.0 
0.0 
0.0 
0.0 
3.0 



0.0 
0.0 
0.0 
0.4 
4.0 



0.0 
8.3 
3.4 
1.2 
5.3 



4.0 
0.0 
n/a 
2.5 
11.4 



0.3 
2.3 
1.2 
1.0 
4.7 



Iowa 

Kansas 

Kentucky 

Louisiana 

Maine 



0.0 
0.0 
0.0 
0.0 
2.2 



0.4 
1.4 
0.0 
1.3 
1.5 



0.0 
3.9 
3.1 
1.4 
0.0 



0.0 
0.0 
0.0 

11.1 

0.0 



0.2 
1.4 
1.0 
1.9 
1.5 



Maryland 

Massachusetts 

Michigan 

Minnesota 

Mississippi 



0.0 
0.0 
0.0 
0.0 
0.0 



0.0 
0.0 
2.6 
0.5 
0.0 



1.4 
0.4 
2.4 
0.0 
0.0 



5.3 
0.0 
8.6 
0.0 
0.0 



1.4 
0.2 
2.7 
0.2 
0.0 



Missouri 

Montana 

Nebraska 

Nevada 

New Hampshire 



0.0 
0.0 
0.0 
0.0 
0.0 



0.0 
0.0 
0.0 
0.0 
0.0 



2.6 
3.6 
0.0 
10.0 
0.0 



0.0 
0.0 
0.0 
20.0 
0.0 



1.1 
1.0 
0.0 
6.8 
0.0 



New Jersey 
New Mexico 
New York 
North Carolina 
North Dakota 



0.0 
0.0 
2.3 
0.0 
0.0 



1.9 
3.0 
1.0 
0.0 
0.0 



4.5 
0.0 
1.2 
1.0 
0.0 



0.0 
0.0 
2.9 
7.7 
0.0 



2.8 
1.3 
1.9 
0.8 
0.0 



Ohio 

Oklahoma 
Oregon 
Pennsylvania 
Rhode Island 



0.7 
0.0 
7.1 
0.0 
0.0 



0.0 
1.6 
12.9 
0.6 
0.0 



1.4 
1.5 
13.0 
1.0 
0.0 



6.6 
0.0 
0.0 
3.2 
0.0 



1.3 
1.3 
11.6 
1.0 
0.0 



South Carolina 
South Dakota 
Tennessee 
Texas 
Utah 



Vermont 

Virginia 

Washington 

West Virginia 

Wisconsin 

Wyoming 



0.0 
0.0 
0.0 
0.0 
0.0 



0.0 
0.0 
0.0 
0.0 
0.0 
15.4 



2.2 
1.9 
2.1 
2.9 
0.0 



0.0 
2.1 
0.0 
3.2 
0.5 
0.0 



10.1 
0.0 
2.7 
2.0 
0.0 



0.0 
5.4 
2.7 
2.1 
0.0 
8.3 



0.0 
n/a 
9.1 
2.1 
n/a 



n/a 
0.0 
12.5 
0.0 
3.8 
0.0 



5.3 

1.1 
2.5 
2.0 
0.0 
0.0 
3.2 
1.5 
2.1 
0.7 
7.5 



Source: OSCAR 
n/a: Data unavailable 

Abuse citations are those deficiencies cited under tag F223 of the Interpretive Guidelines in the "State Operations Manual for Provider Certification" 



236 



Health Deficiencies Abuse 



Table 44 (e). Nursing Home Surveys Resulting in a Citation for Abuse of Residents by 
Bed Size Category: United States, 2000 







Percent by Number of Beds 








<50 


50-99 


100-199 


>199 


All Facilities 


ation 


0.5 


1.9 


2.0 


2.7 


1.8 


Alabama 


0.0 


0.0 


1.1 


0.0 


0.5 


Alaska 


0.0 


0.0 


n/a 


0.0 


0.0 


Arizona 


0.0 


0.0 


1.3 


0.0 


0.7 


Arkansas 


0.0 


1.1 


5.6 


0.0 


3.3 


California 


2.7 


6.8 


4.6 


11.3 


5.7 


Colorado 


0.0 


0.0 


3.5 


0.0 


1.4 


Connecticut 


0.0 


3.9 


3.2 


8.7 


3.7 


Delaware 


0.0 


0.0 


3.7 


0.0 


2.3 


District of Columbia 


0.0 


0.0 


0.0 


0.0 


0.0 


Florida 


0.0 


2.7 


2.8 


0.0 


2.3 


Georgia 


0.0 


0.0 


0.0 


0.0 


0.0 


Hawaii 


0.0 


0.0 


0.0 


0.0 


0.0 


Idaho 


0.0 


4.0 


4.2 


n/a 


2.5 


Illinois 


0.0 


0.7 


1.5 


0.0 


0.8 


Indiana 


0.9 


2.1 


2.4 


4.9 


2.2 


Iowa 


0.0 


0.0 


0.0 


0.0 


0.0 


Kansas 


0.9 


4.9 


1.4 


0.0 


3.2 


Kentucky 


0.0 


0.0 


0.0 


16.7 


0.4 


Louisiana 


2.2 


0.0 


2.2 


4.2 


1.9 


Maine 


0.0 


3.0 


0.0 


0.0 


1.6 


Maryland 


0.0 


0.0 


0.8 


2.9 


0.8 


Massachusetts 


1.1 


1.5 


0.8 


0.0 


1.0 


Michigan 


0.0 


1.4 


2.9 


2.5 


2.1 


Minnesota 


0.0 


0.5 


0.0 


0.0 


0.2 


Mississippi 


0.0 


0.0 


0.0 


16.7 


0.5 


Missouri 


1.3 


0.4 


0.4 


0.0 


0.5 


Montana 


2.5 


0.0 


0.0 


0.0 


1.1 


Nebraska 


0.0 


1.0 


2.6 


0.0 


1.0 


Nevada 


0.0 


16.7 


0.0 


25.0 


6.3 


New Hampshire 


0.0 


0.0 


0.0 


20.0 


1.3 


New Jersey 


0.0 


0.0 


1.6 


7.1 


2.1 


New Mexico 


0.0 


0.0 


0.0 


0.0 


0.0 


New York 


0.0 


1.0 


2.4 


3.5 


2.3 


North Carolina 


0.0 


0.7 


1.9 


0.0 


1.2 


North Dakota 


0.0 


0.0 


0.0 


0.0 


0.0 


Ohio 


0.0 


0.8 


0.9 


0.0 


0.7 


Oklahoma 


0.0 


1.3 


1.6 


0.0 


1.2 


Oregon 


4.3 


9.2 


1.8 


0.0 


5.8 


Pennsylvania 


0.0 


0.6 


1.6 


1.1 


1.0 


Rhode Island 


0.0 


0.0 


0.0 


0.0 


0.0 


South Carolina 


0.0 


5.4 


11.4 


0.0 


6.3 


South Dakota 


0.0 


0.0 


0.0 


n/a 


0.0 


Tennessee 


0.0 


1.1 


4.7 


5.6 


3.0 


Texas 


0.0 


1.9 


2.7 


4.2 


2.2 


Utah 


0.0 


0.0 


0.0 


0.0 


0.0 


Vermont 


0.0 


0.0 


0.0 


n/a 


0.0 


Virginia 


0.0 


2.4 


2.2 


0.0 


1.8 


Washington 


0.0 


0.9 


2.9 


0.0 


1.5 


West Virginia 


3.0 


0.0 


1.8 


0.0 


1.3 


Wisconsin 


0.0 


0.0 


0.0 


0.0 


0.0 


Wyoming 


0.0 


6.3 


7.1 


0.0 


4.8 



Source: OSCAR 
n/a: Data unavailable 

Abuse citations are those deficiencies cited under tag F223 of the Interpretive Guidelines in the "State Operations Manual for Provider Certification" 



237 



Health Deficiencies Abuse 



Table 44 (f). Nursing Home Surveys Resulting in a Citation for Abuse of Residents by 
Bed Size Category: United States, 2001 



Percent by Number of Beds 




<50 


50-99 


100-199 


>199 All Facilities 


ation 


0.6 


1.3 


1.9 


2.2 


1.5 


Alabama 


0.0 


0.0 


0.0 


0.0 


0.0 


Alaska 


0.0 


0.0 


n/a 


0.0 


0.0 


Arizona 


0.0 


0.0 


0.0 


0.0 


0.0 


Arkansas 


0.0 


2.1 


1.7 


0.0 


1.6 


California 


1.8 


2.7 


4.2 


3.7 


2.9 


Colorado 


0.0 


2.5 


5.8 


0.0 


3.2 


Connecticut 


0.0 


4.2 


7.4 


14.3 


6.6 


Delaware 


0.0 


0.0 


0.0 


0.0 


0.0 


District of Columbia 


0.0 


0.0 


0.0 


0.0 


0.0 


Florida 


0.0 


0.8 


1.1 


0.0 


0.9 


Georgia 


0.0 


0.0 


1.7 


4.5 


1.2 


Hawaii 


8.3 


0.0 


0.0 


0.0 


2.9 


Idaho 


0.0 


4.3 


0.0 


n/a 


1.3 


Illinois 


0.0 


2.5 


1.0 


0.0 


1.2 


Indiana 


0.9 


1.1 


0.5 


5.6 


1.1 


Iowa 


0.0 


0.0 


0.0 


0.0 


0.0 


Kansas 


0.0 


1.6 


3.8 


0.0 


1.4 


Kentucky 


0.0 


0.0 


1.0 


0.0 


0.4 


Louisiana 


0.0 


0.0 


2.4 


5.0 


1.8 


Maine 


0.0 


1.7 


0.0 


0.0 


0.9 


Maryland 


0.0 


0.0 


2.7 


0.0 


1.4 


Massachusetts 


0.0 


0.0 


0.4 


0.0 


0.2 


Michigan 


2.0 


3.4 


2.1 


2.9 


2.6 


Minnesota 


0.0 


0.0 


0.0 


0.0 


0.0 


Mississippi 


0.0 


0.0 


0.0 


0.0 


0.0 


Missouri 


0.0 


0.0 


0.5 


0.0 


0.2 


Montana 


0.0 


8.7 


3.8 


0.0 


3.4 


Nebraska 


0.0 


1.0 


0.0 


0.0 


0.5 


Nevada 


0.0 


0.0 


4.5 


16.7 


4.0 


New Hampshire 


0.0 


3.4 


0.0 


0.0 


1.3 


New Jersey 


2.6 


1.8 


2.3 


3.6 


2.5 


New Mexico 


0.0 


0.0 


0.0 


0.0 


0.0 


New York 


2.3 


1.0 


6.1 


3.2 


3.9 


North Carolina 


0.0 


0.0 


0.0 


0.0 


0.0 


North Dakota 


3.8 


0.0 


0.0 


0.0 


1.1 


Ohio 


0.0 


1.9 


3.0 


3.1 


2.2 


Oklahoma 


5.7 


2.8 


1.3 


0.0 


2.7 


Oregon 


4.3 


1.6 


10.9 


0.0 


5.3 


Pennsylvania 


0.0 


0.0 


0.3 


1.1 


0.3 


Rhode Island 


0.0 


0.0 


0.0 


0.0 


0.0 


South Carolina 


2.7 


0.0 


1.6 


0.0 


1.3 


South Dakota 


0.0 


1.9 


7.1 


n/a 


1.9 


Tennessee 


0.0 


1.9 


0.5 


0.0 


0.8 


Texas 


0.0 


0.8 


1.5 


0.0 


1.0 


Utah 


0.0 


0.0 


0.0 


0.0 


0.0 


Vermont 


0.0 


0.0 


0.0 


n/a 


0.0 


Virginia 


0.0 


3.4 


2.5 


5.6 


2.7 


Washington 


2.2 


0.0 


5.7 


16.7 


3.1 


West Virginia 


0.0 


4.1 


2.6 


0.0 


2.7 


Wisconsin 


0.0 


0.0 


0.0 


0.0 


0.0 


Wyoming 


0.0 


7.7 


7.7 


n/a 


5.3 


Source: OSCAR 












n/a: Data unavailable 












Abuse citations are those deficiencies cited under 


tag F223 of the Interpretive G 


uidelines in 


the "State Operations Manual for Provider Certification" 





238 



Health Deficiencies Abuse 



Table 45 (a). Nursing Home Surveys Resulting in a Citation for Abuse of 
Residents by Type of Ownership: United States, 1996 



Percent by Ownership 




For-Profit 


Non-Profit 


Government 


All Facilities 


ation 


1.9 


0.8 


1.7 


1.6 


Alabama 


0.6 


0.0 


0.0 


0.5 


Alaska 


0.0 


0.0 


0.0 


0.0 


Arizona 


0.0 


0.0 


0.0 


0.0 


Arkansas 


1.6 


0.0 


0.0 


1.3 


California 


4.6 


3.0 


10.5 


4.5 


Colorado 


0.0 


1.7 


0.0 


0.5 


Connecticut 


1.5 


0.0 


0.0 


1.2 


Delaware 


0.0 


0.0 


0.0 


0.0 


District of Columbia 


0.0 


0.0 


0.0 


0.0 


Florida 


1.8 


2.1 


6.7 


2.0 


Georgia 


0.0 


0.0 


0.0 


0.0 


Hawaii 


0.0 


0.0 


0.0 


0.0 


Idaho 


6.1 


0.0 


5.0 


4.9 


Illinois 


1.7 


0.7 


3.6 


1.5 


Indiana 


4.2 


0.0 


0.0 


3.1 


Iowa 


0.4 


0.0 


0.0 


0.2 


Kansas 


1.5 


0.0 


0.0 


0.8 


Kentucky 


0.5 


0.0 


0.0 


0.3 


Louisiana 


0.7 


0.0 


0.0 


0.5 


Maine 


1.0 


0.0 


0.0 


0.7 


Maryland 


1.5 


1.1 


28.6 


2.2 


Massachusetts 


0.9 


0.0 


0.0 


0.7 


Michigan 


6.7 


5.6 


4.8 


6.2 


Minnesota 


1.4 


0.0 


0.0 


0.5 


Mississippi 


2.2 


3.3 


0.0 


2.0 


Missouri 


1.3 


0.0 


4.0 


1.2 


Montana 


5.3 


0.0 


5.6 


3.1 


Nebraska 


0.0 


0.0 


0.0 


0.0 


Nevada 


8.6 


0.0 


0.0 


6.3 


New Hampshire 


4.2 


0.0 


0.0 


2.2 


New Jersey 


0.4 


1.8 


0.0 


0.8 


New Mexico 


0.0 


3.7 


0.0 


1.1 


New York 


0.3 


0.3 


0.0 


0.3 


North Carolina 


0.3 


0.0 


0.0 


0.3 


North Dakota 


0.0 


0.0 


0.0 


0.0 


Ohio 


1.3 


0.0 


0.0 


0.9 


Oklahoma 


0.3 


0.0 


0.0 


0.2 


Oregon 


4.7 


0.0 


0.0 


3.6 


Pennsylvania 


2.7 


1.4 


0.0 


1.9 


Rhode Island 


0.0 


0.0 


n/a 


0.0 


South Carolina 


3.9 


3.2 


5.0 


3.9 


South Dakota 


0.0 


0.0 


0.0 


0.0 


Tennessee 


0.4 


1.3 


0.0 


0.6 


Texas 


1.8 


0.0 


0.0 


1.5 


Utah 


1.4 


0.0 


0.0 


1.1 


Vermont 


0.0 


0.0 


0.0 


0.0 


Virginia 


0.6 


1.2 


0.0 


0.7 


Washington 


3.0 


1.6 


0.0 


2.4 


West Virginia 


3.8 


0.0 


0.0 


2.6 


Wisconsin 


0.9 


1.2 


1.5 


1.1 


Wyoming 


0.0 


0.0 


0.0 


0.0 


Source: OSCAR 










n/a: Data unavailable 










Abuse citations are those deficiencies cited 


under tag F223 of the Interpretive Guidelines in the ' 


State Operations Manual for Provider Certification" 



239 



Health Deficiencies Abuse 



Table 45 (b). Nursing Home Surveys Resulting in a Citation for Abuse of 
Residents by Type of Ownership: United States, 1997 







Percent by Ownership 








For- Profit 


Non-Profit Governemt 


All Facilities 


ation 


2.0 


0.5 


1.7 


1.6 


Alabama 


0.0 


0.0 


0.0 


0.0 


Alaska 


0.0 


0.0 


0.0 


0.0 


Arizona 


0.0 


0.0 


0.0 


0.0 


Arkansas 


0.4 


0.0 


6.7 


0.7 


California 


5.0 


2.4 


3.4 


4.4 


Colorado 


0.0 


0.0 


0.0 


0.0 


Connecticut 


4.2 


1.6 


0.0 


3.6 


Delaware 


0.0 


0.0 


0.0 


0.0 


District of Columbia 


0.0 


0.0 


0.0 


0.0 


Florida 


4.0 


0.7 


0.0 


3.3 


Georgia 


0.0 


1.6 


0.0 


0.3 


Hawaii 


0.0 


0.0 


10.0 


2.4 


Idaho 


7.7 


0.0 


5.3 


6.0 


Illinois 


1.7 


0.4 


0.0 


1.2 


Indiana 


4.9 


2.3 


0.0 


4.2 


Iowa 


0.8 


0.0 


0.0 


0.4 


Kansas 


3.2 


0.0 


0.0 


1.8 


Kentucky 


1.2 


0.0 


0.0 


0.8 


Louisiana 


0.4 


0.0 


0.0 


0.3 


Maine 


0.0 


0.0 


0.0 


0.0 


Maryland 


0.0 


0.0 


0.0 


0.0 


Massachusetts 


0.7 


1.4 


0.0 


0.9 


Michigan 


5.1 


0.9 


7.3 


4.2 


Minnesota 


0.0 


0.0 


0.0 


0.0 


Mississippi 


0.7 


0.0 


0.0 


0.5 


Missouri 


0.3 


0.0 


0.0 


0.2 


Montana 


7.9 


2.2 


5.0 


4.8 


Nebraska 


0.9 


0.0 


0.0 


0.4 


Nevada 


6.5 


0.0 


0.0 


4.8 


New Hampshire 


4.1 


0.0 


0.0 


2.2 


New Jersey 


1.0 


0.0 


0.0 


0.6 


New Mexico 


0.0 


0.0 


0.0 


0.0 


New York 


0.0 


0.0 


0.0 


0.0 


North Carolina 


1.3 


0.0 


0.0 


1.0 


North Dakota 


11.1 


0.0 


0.0 


1.3 


Ohio 


0.9 


0.0 


0.0 


0.6 


Oklahoma 


0.6 


0.0 


0.0 


0.5 


Oregon 


2.5 


6.3 


0.0 


3.2 


Pennsylvania 


2.7 


0.0 


4.4 


1.3 


Rhode Island 


0.0 


0.0 


n/a 


0.0 


South Carolina 


7.4 


0.0 


14.3 


7.3 


South Dakota 


2.6 


0.0 


0.0 


1.0 


Tennessee 


0.0 


1.2 


0.0 


0.3 


Texas 


1.4 


0.5 


2.6 


1.3 


Utah 


1.3 


0.0 


0.0 


1.0 


Vermont 


0.0 


0.0 


n/a 


0.0 


Virginia 


2.5 


1.3 


0.0 


2.0 


Washington 


2.5 


1.4 


8.7 


2.7 


West Virginia 


0.0 


0.0 


0.0 


0.0 


Wisconsin 


1.5 


0.0 


0.0 


0.7 


Wyoming 


5.9 


0.0 


14.3 


8.1 



Source: OSCAR 
n/a: Data unavailable 

Abuse citations are those deficiencies cited under tag F223 of the Interpretive Guidelines in the "State Operations Manual for Provider Certification" 



240 



Health Deficiencies Abuse 



Table 45 (c). Nursing Home Surveys Resulting in a Citation for Abuse of 
Residents by Type of Ownership: United States, 1998 







Percent by Ownership 








For- Profit 


Non-Profit Government 


All Facilities 


ation 


2.2 


0.8 


1.5 


1.8 


Alabama 


0.6 


0.0 


0.0 


0.4 


Alaska 


0.0 


0.0 


0.0 


0.0 


Arizona 


0.0 


0.0 


0.0 


0.0 


Arkansas 


1.0 


0.0 


7.1 


1.1 


California 


6.0 


1.4 


4.3 


5.0 


Colorado 


1.4 


0.0 


8.7 


1.8 


Connecticut 


5.7 


8.0 


0.0 


6.1 


Delaware 


0.0 


0.0 


0.0 


0.0 


District of Columbia 


0.0 


0.0 


0.0 


0.0 


Florida 


4.2 


0.7 


14.3 


3.7 


Georgia 


1.0 


0.0 


0.0 


0.8 


Hawaii 


0.0 


7.1 


0.0 


2.3 


Idaho 


11.8 


7.1 


0.0 


8.3 


Illinois 


2.2 


0.4 


0.0 


1.5 


Indiana 


5.8 


0.0 


0.0 


4.3 


Iowa 


0.8 


0.5 


0.0 


0.6 


Kansas 


2.1 


3.4 


3.0 


2.7 


Kentucky 


0.5 


0.0 


0.0 


0.3 


Louisiana 


0.0 


0.0 


0.0 


0.0 


Maine 


1.0 


0.0 


0.0 


0.8 


Maryland 


1.7 


1.2 


0.0 


1.5 


Massachusetts 


0.6 


0.7 


0.0 


0.6 


Michigan 


4.0 


3.6 


4.8 


4.0 


Minnesota 


0.7 


0.4 


0.0 


0.5 


Mississippi 


0.0 


0.0 


0.0 


0.0 


Missouri 


0.0 


0.0 


0.0 


0.0 


Montana 


0.0 


2.3 


0.0 


1.1 


Nebraska 


0.9 


0.0 


0.0 


0.4 


Nevada 


5.3 


0.0 


0.0 


4.2 


New Hampshire 


0.0 


0.0 


0.0 


0.0 


New Jersey 


1.9 


0.8 


0.0 


1.5 


New Mexico 


2.1 


0.0 


0.0 


1.4 


New York 


0.7 


0.0 


0.0 


0.4 


North Carolina 


1.6 


0.0 


0.0 


1.2 


North Dakota 


0.0 


0.0 


0.0 


0.0 


Ohio 


0.7 


0.4 


0.0 


0.6 


Oklahoma 


1.2 


2.1 


0.0 


1.3 


Oregon 


5.1 


0.0 


0.0 


3.8 


Pennsylvania 


1.2 


0.7 


4.3 


1.1 


Rhode Island 


1.3 


0.0 


n/a 


1.0 


South Carolina 


5.5 


8.3 


5.3 


5.9 


South Dakota 


0.0 


0.0 


0.0 


0.0 


Tennessee 


1.2 


1.2 


0.0 


1.1 


Texas 


1.2 


0.0 


0.0 


0.9 


Utah 


1.4 


0.0 


0.0 


1.1 


Vermont 


0.0 


0.0 


0.0 


0.0 


Virginia 


1.4 


2.4 


10.0 


2.1 


Washington 


6.7 


1.5 


4.8 


5.3 


West Virginia 


3.7 


0.0 


0.0 


2.5 


Wisconsin 


0.5 


0.6 


0.0 


0.5 


Wyoming 


5.3 


0.0 


0.0 


2.3 



Source: OSCAR 

n/a: Data unavailable 

Abuse citations are those deficiencies cited under tag F223 of the Interpretive Guidelines in the "State Operations Manual for Provider Certification" 



241 



Health Deficiencies Abuse 



Table 45 (d). Nursing Home Surveys Resulting in a Citation for Abuse of 
Residents by Type of Ownership: United States, 1999 







Percent by Ownership 








For- Profit 


Non-Profit Government 


All Facilities 


ation 


2.5 


1.8 


2.2 


2.1 


Alabama 


0.6 


1.3 


0.0 


1.0 


Alaska 


0.0 


0.0 


0.0 


0.0 


Arizona 


7.0 


5.0 


0.0 


5.7 


Arkansas 


2.1 


3.6 


0.0 


2.1 


California 


6.7 


4.8 


2.3 


5.8 


Colorado 


0.0 


0.0 


0.0 


0.0 


Connecticut 


11.5 


9.3 


0.0 


10.3 


Delaware 


0.0 


0.0 


0.0 


0.0 


District of Columbia 


0.0 


0.0 


100.0 


6.7 


Florida 


3.0 


2.9 


0.0 


3.1 


Georgia 


0.4 


0.0 


0.0 


0.3 


Hawaii 


0.0 


0.0 


9.1 


2.3 


Idaho 


1.9 


0.0 


0.0 


1.2 


Illinois 


1.0 


0.4 


2.2 


1.0 


Indiana 


5.7 


4.0 


5.9 


4.7 


Iowa 


0.0 


0.4 


0.0 


0.2 


Kansas 


1.8 


1.4 


0.0 


1.4 


Kentucky 


0.6 


0.0 


0.0 


1.0 


Louisiana 


1.8 


1.3 


3.7 


1.9 


Maine 


2.2 


1.5 


0.0 


1.5 


Maryland 


2.6 


0.0 


0.0 


1.4 


Massachusetts 


0.3 


0.0 


0.0 


0.2 


Michigan 


2.7 


2.6 


2.6 


2.7 


Minnesota 


0.0 


0.5 


1.7 


0.2 


Mississippi 


0.0 


0.0 


0.0 


0.0 


Missouri 


1.4 


0.0 


2.0 


1.1 


Montana 


2.7 


0.0 


0.0 


1.0 


Nebraska 


0.0 


0.0 


0.0 


0.0 


Nevada 


6.5 


0.0 


20.0 


6.8 


New Hampshire 


0.0 


0.0 


0.0 


0.0 


New Jersey 


2.5 


1.9 


11.1 


2.8 


New Mexico 


2.1 


3.0 


0.0 


1.3 


New York 


2.1 


1.0 


4.3 


1.9 


North Carolina 


1.0 


0.0 


0.0 


0.8 


North Dakota 


0.0 


0.0 


0.0 


0.0 


Ohio 


1.2 


0.0 


0.0 


1.3 


Oklahoma 


1.3 


1.6 


0.0 


1.3 


Oregon 


11.1 


12.9 


33.3 


11.6 


Pennsylvania 


1.5 


0.6 


0.0 


1.0 


Rhode Island 


0.0 


0.0 


n/a 


0.0 


South Carolina 


5.2 


2.2 


5.9 


5.3 


South Dakota 


0.0 


1.9 


0.0 


1.1 


Tennessee 


2.1 


2.1 


2.9 


2.5 


Texas 


1.9 


2.9 


5.0 


2.0 


Utah 


0.0 


0.0 


0.0 


0.0 


Vermont 


0.0 


0.0 


0.0 


0.0 


Virginia 


5.1 


2.1 


0.0 


3.2 


Washington 


1.6 


0.0 


0.0 


1.5 


West Virginia 


2.2 


3.2 


0.0 


2.1 


Wisconsin 


0.5 


0.5 


1.6 


0.7 


Wyoming 


5.6 


0.0 


11.8 


7.5 



Source: OSCAR 

n/a: Data unavailable 

Abuse citations are those deficiencies cited under tag F223 of the Interpretive Guidelines in the "State Operations Manual for Provider Certification" 



242 



Health Deficiencies Abuse 



Table 45 (e). Nursing Home Surveys Resulting in a Citation for Abuse of 
Residents by Type of Ownership: United States, 2000 







Percent by Ownership 








For- Profit 


Non-Profit Government 


All Facilities 


Nation 


2.2 


1.0 


0.7 


1.8 


Alabama 


0.7 


0.0 


0.0 


0.5 


Alaska 


n/a 


0.0 


0.0 


0.0 


Arizona 


1.1 


0.0 


0.0 


0.7 


Arkansas 


2.8 


7.1 


0.0 


3.3 


California 


6.4 


3.2 


4.5 


5.7 


Colorado 


2.2 


0.0 


0.0 


1.4 


Connecticut 


4.3 


1.7 


0.0 


3.7 


Delaware 


5.0 


0.0 


0.0 


2.3 


District of Columbia 


0.0 


0.0 


0.0 


0.0 


Florida 


2.5 


1.9 


0.0 


2.3 


Georgia 


0.0 


0.0 


0.0 


0.0 


Hawaii 


0.0 


0.0 


0.0 


0.0 


Idaho 


4.3 


0.0 


0.0 


2.5 


Illinois 


0.7 


1.2 


0.0 


0.8 


Indiana 


2.3 


2.2 


0.0 


2.2 


Iowa 


0.0 


0.0 


0.0 


0.0 


Kansas 


3.8 


2.0 


3.8 


3.2 


Kentucky 


0.6 


0.0 


0.0 


0.4 


Louisiana 


2.1 


1.7 


0.0 


1.9 


Maine 


1.1 


3.6 


0.0 


1.6 


Maryland 


0.7 


1.0 


0.0 


0.8 


Massachusetts 


1.5 


0.0 


0.0 


1.0 


Michigan 


3.0 


0.8 


0.0 


2.1 


Minnesota 


0.0 


0.4 


0.0 


0.2 


Mississippi 


0.7 


0.0 


0.0 


0.5 


Missouri 


0.5 


0.7 


0.0 


0.5 


Montana 


2.9 


0.0 


0.0 


1.1 


Nebraska 


2.4 


0.0 


0.0 


1.0 


Nevada 


8.8 


0.0 


0.0 


6.3 


New Hampshire 


0.0 


0.0 


8.3 


1.3 


New Jersey 


2.9 


0.9 


0.0 


2.1 


New Mexico 


0.0 


0.0 


0.0 


0.0 


New York 


2.8 


1.9 


2.0 


2.3 


North Carolina 


1.6 


0.0 


0.0 


1.2 


North Dakota 


0.0 


0.0 


0.0 


0.0 


Ohio 


0.5 


1.4 


0.0 


0.7 


Oklahoma 


1.4 


0.0 


0.0 


1.2 


Oregon 


7.7 


0.0 


0.0 


5.8 


Pennsylvania 


1.8 


0.5 


0.0 


1.0 


Rhode Island 


0.0 


0.0 


n/a 


0.0 


South Carolina 


8.6 


0.0 


0.0 


6.3 


South Dakota 


0.0 


0.0 


0.0 


0.0 


Tennessee 


3.5 


2.9 


0.0 


3.0 


Texas 


2.4 


1.1 


2.9 


2.2 


Utah 


0.0 


0.0 


0.0 


0.0 


Vermont 


0.0 


0.0 


0.0 


0.0 


Virginia 


2.2 


1.1 


0.0 


1.8 


Washington 


2.1 


0.0 


0.0 


1.5 


West Virginia 


1.0 


2.6 


0.0 


1.3 


Wisconsin 


0.0 


0.0 


0.0 


0.0 


Wyoming 


9.1 


0.0 


0.0 


4.8 



Source: OSCAR 

n/a: Data unavailable 

Abuse citations are those deficiencies cited under tag F223 of the Interpretive Guidelines in the "State Operations Manual for Provider Certification" 

243 



Health Deficiencies Abuse 



Table 45 (f). Nursing Home Surveys Resulting in a Citation for Abuse of 
Residents by Type of Ownership: United States, 2001 

Percent by Qwnershi p 



For- Profit 



Non-Profit 



Government 



Nation 

Alabama 

Alaska 

Arizona 

Arkansas 

California 



Colorado 

Connecticut 

Delaware 

District of Columbia 

Florida 



Georgia 
Hawaii 
Idaho 
Illinois 

Indiana 



Iowa 

Kansas 

Kentucky 

Louisiana 

Maine 



Maryland 

Massachusetts 

Michigan 

Minnesota 

Mississippi 



Missouri 

Montana 

Nebraska 

Nevada 

New Hampshire 



New Jersey 
New Mexico 
New York 
North Carolina 
North Dakota 



Ohio 

Oklahoma 
Oregon 
Pennsylvania 
Rhode Island 



South Carolina 
South Dakota 
Tennessee 
Texas 
Utah 



Vermont 

Virginia 

Washington 

West Virginia 

Wisconsin 

Wyoming 



1.8 

0.0 
0.0 
0.0 
1.0 
3.4 



4.2 
7.1 
0.0 
0.0 
1.0 



1.6 
0.0 
0.0 
1.8 
1.1 



0.0 
2.2 
0.5 
1.6 
1.2 



2.5 
0.0 
4.2 
0.0 
0.0 



0.0 
7.1 
1.0 
5.4 
0.0 



3.0 

0.0 
4.9 
0.0 
0.0 



2.0 
2.6 
6.6 
0.0 
0.0 



0.9 

0.0 
0.4 
1.3 
0.0 



0.0 
4.3 
3.4 
2.7 
0.0 
14.3 



0.8 

0.0 
0.0 
0.0 
4.9 
1.3 



1.9 

0.0 
0.0 
0.0 
0.0 
2.2 



0.0 

5.4 
0.0 
0.0 
0.6 



0.0 
0.0 
0.0 
0.0 
1.3 



0.0 
0.0 
0.0 
1.6 
0.0 



0.0 
0.7 
0.0 
0.0 
0.0 



0.8 
0.0 
0.0 
0.0 
0.0 



1.9 
0.0 
2.0 
0.0 
1.3 



2.8 
0.0 
2.9 
0.5 
0.0 



0.0 
1.6 
2.3 
0.0 
0.0 



0.0 
0.0 
0.0 
0.0 
0.0 
0.0 



4.8 
0.0 
0.0 
0.0 
0.0 



0.0 
16.7 
5.3 
0.0 
0.0 



0.0 
1.9 
0.0 
4.8 
0.0 



0.0 
0.0 
0.0 
0.0 
0.0 



0.0 
5.3 

0.0 
0.0 
8.3 



0.0 
0.0 
8.2 
0.0 
0.0 



3.3 
8.3 
0.0 
0.0 
n/a 



4.3 
16.7 
0.0 
0.0 
0.0 



0.0 
0.0 
7.4 
10.0 
0.0 
0.0 



All Facilities 



1.5 

0.0 
0.0 
0.0 
1.6 
2.9 



3.2 
6.6 
0.0 
0.0 
0.9 



1.2 
2.9 
1.3 
1.2 
1.1 
0.0 
1.4 
0.4 
1.8 
0.9 
1.4 
0.2 
2.6 
0.0 
0.0 
0.2 
3.4 
0.5 
4.0 
1.3 
2.5 
0.0 
3.9 
0.0 
1.1 
2.2 
2.7 
5.3 
0.3 
0.0 
1.3 
1.9 
0.8 
1.0 
0.0 
0.0 
2.7 
3.1 
2.7 
0.0 
5.3 



Source: OSCAR 

n/a: Data unavailable 

Abuse citations are those deficiencies cited under tag F223 of the Interpretive Guidelines in the "State Operations Manual for Provider Certification" 






244 



Health Deficiencies Abuse 



Table 46 (a). Nursing Home Surveys Resulting in a Citation for Use of Physical 
Restraints by Bed Size Category: United States, 1996 







Percent by Number of Beds 








<50 


50-99 


100-199 


>199 


All Facilities 


Nation 


11.3 


14.1 


15.7 


15.6 


14.4 


Alabama 


17.6 


13.4 


27.1 


50.0 


22.2 


Alaska 


0.0 


0.0 


n/a 


0.0 


0.0 


Arizona 


13.3 


17.6 


18.6 


23.1 


17.7 


Arkansas 


27.3 


11.5 


9.9 


0.0 


12.3 


California 


20.6 


27.7 


31.5 


28.6 


27.0 


Colorado 


3.6 


5.9 


9.9 


0.0 


6.6 


Connecticut 


5.6 


2.8 


1.4 


0.0 


1.9 


Delaware 


20.0 


25.0 


20.8 


n/a 


21.6 


District of Columbia 


0.0 


0.0 


0.0 


0.0 


0.0 


Florida 


6.0 


12.9 


21.5 


12.1 


17.3 


Georgia 


3.3 


2.7 


2.4 


9.4 


3.1 


Hawaii 


6.7 


0.0 


9.1 


50.0 


9.8 


Idaho 


12.1 


20.0 


13.0 


0.0 


14.6 


Illinois 


12.4 


16.9 


15.3 


14.7 


15.3 


Indiana 


6.3 


11.0 


13.6 


16.7 


11.5 


Iowa 


9.9 


6.8 


8.3 


27.3 


8.1 


Kansas 


11.8 


15.5 


16.1 


40.0 


15.0 


Kentucky 


8.2 


14.6 


8.9 


14.3 


11.1 


Louisiana 


0.0 


2.8 


7.1 


4.8 


5.0 


Maine 


7.7 


12.1 


3.6 


0.0 


8.8 


Maryland 


2.6 


6.1 


8.3 


6.5 


6.6 


Massachusetts 


12.9 


22.1 


26.4 


33.3 


22.6 


Michigan 


20.0 


17.6 


27.4 


31.8 


24.2 


Minnesota 


7.7 


11.3 


19.0 


11.5 


13.4 


Mississippi 


71 


7.7 


13.3 


20.0 


10.0 


Missouri 


17.2 


9.9 


9.5 


17.9 


11.2 


Montana 


11.9 


24.2 


19.0 


50.0 


18.4 


Nebraska 


10.7 


9.4 


5.9 


20.0 


9.2 


Nevada 


35.0 


75.0 


62.5 


100.0 


56.3 


New Hampshire 


6.7 


10.3 


3.2 


0.0 


6.5 


New Jersey 


0.0 


6.7 


6.0 


6.0 


5.5 


New Mexico 


5.3 


6.9 


18.9 


0.0 


11.5 


New York 


11.1 


9.4 


13.4 


8.0 


10.6 


North Carolina 


6.5 


10.3 


10.8 


8.3 


10.1 


North Dakota 


13.0 


20.5 


29.2 


100.0 


22.7 


Ohio 


14.6 


12.1 


19.9 


17.8 


16.8 


Oklahoma 


11.8 


21.4 


17.2 


0.0 


18.1 


Oregon 


8.1 


16.9 


11.9 


0.0 


13.1 


Pennsylvania 


14.6 


15.3 


20.8 


16.3 


17.8 


Rhode Island 


10.5 


6.3 


9.8 


0.0 


8.2 


South Carolina 


15.0 


23.1 


31.3 


33.3 


24.7 


South Dakota 


18.5 


16.7 


46.7 


100.0 


22.0 


Tennessee 


9.6 


14.3 


17.8 


28.6 


16.2 


Texas 


4.1 


7.8 


8.3 


10.9 


7.5 


Utah 


3.7 


8.8 


6.7 


0.0 


6.5 


Vermont 


28.6 


9.1 


22.2 


n/a 


20.9 


Virginia 


5.0 


11.6 


20.8 


23.8 


15.8 


Washington 


20.9 


19.1 


19.4 


0.0 


18.8 


West Virginia 


4.3 


15.1 


10.3 


100.0 


12.1 


Wisconsin 


4.8 


12.1 


14.6 


26.8 


14.1 


Wyoming 


0.0 


0.0 


0.0 


0.0 


0.0 



Source: OSCAR 
n/a: Data unavailable 



245 



Health Deficiencies 
Physical Restraints 



Table 46 (b). Nursing Home Surveys Resulting in a Citation for Use of Physical 
Restraints by Bed Size Category: United States, 1997 







Percent by Number of Beds 








<50 


50-99 


100-199 


>199 


All Facilities 


Nation 


10.4 


13.8 


14.9 


16.6 


13.9 


Alabama 


9.1 


11.5 


20.6 


22.2 


16.5 


Alaska 


23.1 


0.0 


n/a 


100.0 


25.0 


Arizona 


9.5 


23.1 


19.4 


40.0 


20.2 


Arkansas 


22.9 


13.1 


12.8 


14.3 


14.2 


California 


21.0 


24.7 


32.2 


37.1 


26.1 


Colorado 


4.7 


5.0 


18.6 


28.6 


10.5 


Connecticut 


6.3 


3.7 


3.3 


7.4 


4.0 


Delaware 


0.0 


25.0 


7.4 


0.0 


11.1 


District of Columbia 


0.0 


0.0 


14.3 


0.0 


3.8 


Florida 


8.7 


10.2 


15.9 


9.7 


13.5 


Georgia 


4.3 


5.4 


3.0 


0.0 


3.6 


Hawaii 


7.1 


7.1 


20.0 


25.0 


11.9 


Idaho 


18.8 


28.0 


37.0 


n/a 


27.4 


Illinois 


15.2 


15.2 


17.9 


18.8 


16.9 


Indiana 


18.0 


30.2 


26.9 


31.6 


26.4 


Iowa 


6.9 


4.9 


21.3 


0.0 


9.0 


Kansas 


11.3 


18.5 


27.8 


0.0 


18.3 


Kentucky 


9.1 


11.5 


14.4 


60.0 


12.8 


Louisiana 


0.0 


5.1 


3.5 


4.2 


3.4 


Maine 


9.1 


4.4 


9.5 


0.0 


6.6 


Maryland 


6.8 


0.0 


2.5 


3.2 


2.9 


Massachusetts 


11.5 


13.0 


16.4 


19.0 


14.6 


Michigan 


14.9 


18.0 


20.4 


14.3 


18.6 


Minnesota 


19.1 


15.9 


33.3 


55.6 


24.9 


Mississippi 


4.3 


7.5 


2.5 


0.0 


4.8 


Missouri 


3.3 


6.6 


8.4 


10.7 


7.0 


Montana 


7.1 


5.7 


4.0 


0.0 


5.8 


Nebraska 


6.7 


6.1 


6.3 


20.0 


6.6 


Nevada 


27.8 


71.4 


73.3 


50.0 


52.4 


New Hampshire 


8.3 


9.8 


3.0 


0.0 


6.6 


New Jersey 


0.0 


4.3 


8.0 


10.0 


7.1 


New Mexico 


12.5 


16.1 


17.9 


0.0 


15.6 


New York 


6.8 


13.3 


8.7 


7.9 


9.1 


North Carolina 


2.1 


6.0 


9.1 


0.0 


6.9 


North Dakota 


5.0 


18.2 


33.3 


0.0 


18.4 


Ohio 


9.9 


11.9 


14.5 


17.3 


13.3 


Oklahoma 


10.7 


22.4 


20.8 


42.9 


20.2 


Oregon 


0.0 


15.2 


16.7 


0.0 


12.3 


Pennsylvania 


9.4 


15.0 


17.8 


15.2 


15.1 


Rhode Island 


0.0 


11.8 


18.9 


50.0 


14.4 


South Carolina 


17.9 


18.8 


18.6 


0.0 


17.9 


South Dakota 


22.7 


15.7 


41.7 


0.0 


20.0 


Tennessee 


3.6 


5.7 


4.4 


10.5 


5.0 


Texas 


3.5 


10.9 


10.7 


13.7 


9.7 


Utah 


3.6 


0.0 


0.0 


0.0 


1.0 


Vermont 


30.0 


0.0 


31.3 


n/a 


20.5 


Virginia 


2.8 


2.5 


9.2 


5.0 


5.7 


Washington 


10.2 


13.6 


18.6 


20.0 


15.3 


West Virginia 


15.0 


18.9 


25.9 


33.3 


20.7 


Wisconsin 


9.1 


16.8 


15.2 


32.0 


17.2 


Wyoming 


0.0 


37.5 


9.1 


0.0 


18.9 



Source: OSCAR 
n/a: Data unavailable 



246 



Health Deficiencies 
Physical Restraints 



Table 46 (c). Nursing Home Surveys Resulting in a Citation for Use of Physical 
Restraints by Bed Size Category: United States , 1998^ 







Percent by Number of Beds 








<50 


50-99 


100-199 


>199 


All Facilities 


Nation 


9.4 


13.8 


13.7 


16.6 


13.2 


Alabama 


7.1 


9.3 


13.7 


20.0 


11.9 


Alaska 


30.0 


50.0 


n/a 


100.0 


43.8 


Arizona 


3.7 


15.4 


14.1 


40.0 


15.2 


Arkansas 


33.3 


18.4 


13.8 


28.6 


18.3 


California 


17.4 


22.0 


29.1 


31.0 


23.1 


Colorado 


9.1 


9.2 


6.0 


0.0 


7.6 


Connecticut 


0.0 


4.3 


4.4 


0.0 


3.7 


Delaware 


0.0 


28.6 


29.4 


100.0 


28.6 


District of Columbia 


0.0 


0.0 


20.0 


0.0 


5.9 


Florida 


7.9 


18.9 


16.6 


25.0 


16.2 


Georgia 


0.0 


4.9 


2.0 


3.8 


2.9 


Hawaii 


17.6 


9.1 


8.3 


25.0 


13.6 


Idaho 


10.7 


11.5 


16.7 


n/a 


13.1 


Illinois 


13.7 


13.3 


13.2 


11.3 


13.0 


Indiana 


22.0 


22.5 


35.1 


50.9 


29.9 


Iowa 


2.5 


8.4 


12.2 


0.0 


8.1 


Kansas 


9.8 


16.0 


18.7 


0.0 


14.6 


Kentucky 


17.2 


13.9 


15.2 


50.0 


15.9 


Louisiana 


0.0 


3.1 


5.2 


0.0 


3.7 


Maine 


12.8 


13.8 


29.4 


25.0 


15.8 


Maryland 


0.0 


2.4 


0.0 


3.7 


1.0 


Massachusetts 


4.0 


11.1 


14.5 


28.6 


12.1 


Michigan 


20.0 


25.4 


26.2 


31.3 


25.7 


Minnesota 


19.0 


16.4 


23.2 


28.0 


19.7 


Mississippi 


2.0 


7.4 


5.3 


20.0 


5.7 


Missouri 


5.9 


7.1 


5.6 


7.4 


6.3 


Montana 


21.1 


22.6 


30.4 


0.0 


23.4 


Nebraska 


3.6 


7.6 


8.2 


0.0 


6.7 


Nevada 


16.7 


25.0 


55.6 


25.0 


33.3 


New Hampshire 


5.9 


2.9 


3.7 


0.0 


3.6 


New Jersey 


2.2 


3.3 


3.3 


13.0 


4.7 


New Mexico 


7.1 


3.6 


13.8 


0.0 


8.2 


New York 


4.9 


7.1 


9.1 


8.0 


8.1 


North Carolina 


3.8 


14.2 


9.0 


0.0 


10.0 


North Dakota 


18.5 


17.5 


13.0 


0.0 


16.3 


Ohio 


7.7 


10.0 


11.6 


20.8 


11.2 


Oklahoma 


8.6 


25.8 


24.3 


20.0 


22.7 


Oregon 


2.9 


15.9 


20.8 


0.0 


14.5 


Pennsylvania 


6.3 


13.5 


14.9 


19.4 


13.3 


Rhode Island 


5.6 


6.7 


18.6 


12.5 


12.1 


South Carolina 


8.3 


12.9 


9.0 


20.0 


10.6 


South Dakota 


5.3 


24.6 


38.5 


0.0 


22.2 


Tennessee 


1.7 


7.2 


4.3 


4.2 


4.6 


Texas 


2.8 


10.4 


8.7 


12.8 


8.4 


Utah 


3.1 


3.4 


3.2 


0.0 


3.2 


Vermont 


10.0 


14.3 


7.1 


n/a 


10.5 


Virginia 


0.0 


14.1 


15.5 


20.0 


13.0 


Washington 


15.4 


20.2 


20.2 


25.0 


19.4 


West Virginia 


0.0 


14.7 


17.2 


n/a 


12.3 


Wisconsin 


2.5 


9.3 


18.5 


18.9 


13.1 


Wyoming 


38.5 


11.8 


16.7 


0.0 


20.9 



Source: OSCAR 
n/a: Data unavailable 



247 



Health Deficiencies 
Physical Restraints 



Table 46 (d). Nursing Home Surveys Resulting in a Citation for Use of Physical 
Restraints by Bed Size Category: United States, 1999 







Percent by Number of Beds 








<50 


50-99 


100-199 


>199 


All Facilities 


Nation 


8.2 


11.8 


12.8 


14.2 


11.8 


Alabama 


18.8 


5.3 


15.0 


25.0 


12.3 


Alaska 


36.4 


50.0 


n/a 


100.0 


43.8 


Arizona 


23.1 


10.0 


22.9 


33.3 


20.7 


Arkansas 


25.8 


26.2 


25.4 


0.0 


25.3 


California 


11.7 


20.6 


31.2 


37.0 


21.9 


Colorado 


7.3 


7.1 


11.0 


12.5 


8.8 


Connecticut 


0.0 


5.3 


8.6 


12.0 


7.5 


Delaware 


0.0 


10.0 


28.6 


0.0 


20.0 


District of Columbia 


0.0 


0.0 


0.0 


25.0 


6.7 


Florida 


5.9 


8.1 


11.2 


10.8 


9.9 


Georgia 


0.0 


8.9 


8.3 


4.0 


7.5 


Hawaii 


17.6 


27.3 


33.3 


33.3 


25.6 


Idaho 


6.9 


15.4 


13.8 


n/a 


11.9 


Illinois 


14.2 


10.9 


14.2 


12.1 


12.8 


Indiana 


16.4 


16.4 


15.5 


40.0 


17.5 


Iowa 


0.0 


1.6 


1.9 


0.0 


1.3 


Kansas 


11.8 


13.6 


24.7 


42.9 


15.6 


Kentucky 


5.1 


13.1 


19.6 


16.7 


13.1 


Louisiana 


0.0 


2.6 


3.6 


0.0 


2.7 


Maine 


13.0 


3.0 


5.6 


0.0 


6.9 


Maryland 


0.0 


20.8 


4.3 


21.1 


8.4 


Massachusetts 


3.7 


13.8 


12.3 


25.0 


11.8 


Michigan 


13.3 


21.4 


18.9 


17.1 


18.8 


Minnesota 


0.0 


2.7 


3.1 


3.1 


2.5 


Mississippi 


0.0 


9.2 


17.3 


0.0 


10.5 


Missouri 


3.7 


6.0 


6.0 


12.0 


6.0 


Montana 


11.6 


30.3 


17.9 


100.0 


20.0 


Nebraska 


5.0 


8.7 


6.3 


0.0 


7.2 


Nevada 


0.0 


9.1 


40.0 


20.0 


22.7 


New Hampshire 


15.4 


3.1 


0.0 


0.0 


4.3 


New Jersey 


0.0 


3.8 


6.2 


7.5 


5.4 


New Mexico 


15.4 


18.2 


9.4 


0.0 


13.8 


New York 


9.1 


18.6 


10.0 


8.3 


10.8 


North Carolina 


0.0 


8.7 


7.9 


15.4 


7.6 


North Dakota 


0.0 


5.0 


0.0 


50.0 


3.2 


Ohio 


6.7 


9.9 


9.7 


13.1 


9.6 


Oklahoma 


14.6 


25.4 


25.7 


22.2 


24.1 


Oregon 


7.1 


11.3 


22.2 


50.0 


15.1 


Pennsylvania 


4.7 


9.8 


12.1 


18.1 


11.0 


Rhode Island 


29.4 


17.6 


7.0 


0.0 


14.1 


South Carolina 


8.8 


15.2 


18.8 


0.0 


15.1 


South Dakota 


37.5 


14.8 


50.0 


n/a 


25.0 


Tennessee 


3.7 


3.2 


3.2 


4.5 


3.4 


Texas 


3.3 


9.1 


9.9 


16.7 


8.9 


Utah 


0.0 


3.7 


4.0 


n/a 


2.4 


Vermont 


0.0 


7.1 


5.6 


n/a 


4.3 


Virginia 


10.8 


9.5 


16.2 


12.5 


13.0 


Washington 


18.0 


17.1 


23.4 


0.0 


19.3 


West Virginia 


6.9 


11.3 


25.0 


0.0 


14.9 


Wisconsin 


5.9 


8.2 


15.4 


15.1 


11.4 


Wyoming 


7.7 


42.9 


25.0 


0.0 


25.0 



Source: OSCAR 
n/a: Data unavailable 



248 



Health Deficiencies 
Physical Restraints 



I 



Table 46 (e). Nursing Home Surveys Resulting in a Citation for Use of Physical 
Restraints by Bed Size Category: United States, 2000 







Percent by Number of Beds 








<50 


50-99 


100-199 


>199 


All Facilities 


Nation 


8.1 


11.1 


12.0 


13.0 


11.2 


Alabama 


0.0 


12.3 


5.3 


11.1 


8.0 


Alaska 


0.0 


40.0 


n/a 


0.0 


14.3 


Arizona 


5.3 


26.7 


19.5 


13.3 


18.4 


Arkansas 


25.0 


22.6 


28.0 


33.3 


25.9 


California 


10.9 


19.1 


25.5 


28.3 


19.4 


Colorado 


7.8 


10.7 


11.6 


0.0 


10.1 


Connecticut 


20.0 


9.1 


11.7 


13.0 


11.5 


Delaware 


0.0 


9.1 


25.9 


0.0 


18.2 


District of Columbia 


0.0 


12.5 


0.0 


0.0 


4.8 


Florida 


0.0 


4.8 


9.8 


7.5 


7.6 


Georgia 


4.2 


4.5 


9.7 


8.7 


7.5 


Hawaii 


0.0 


22.2 


15.4 


0.0 


9.8 


Idaho 


29.0 


36.0 


33.3 


n/a 


32.5 


Illinois 


5.8 


9.4 


13.9 


14.8 


11.6 


Indiana 


11.9 


8.4 


14.4 


17.1 


12.0 


Iowa 


1.3 


1.9 


1.0 


0.0 


1.6 


Kansas 


9.3 


13.8 


15.5 


0.0 


12.7 


Kentucky 


8.7 


13.6 


17.7 


50.0 


14.6 


Louisiana 


2.2 


5.5 


11.0 


20.8 


9.5 


Maine 


4.9 


6.1 


0.0 


0.0 


4.8 


Maryland 


0.0 


3.8 


3.1 


2.9 


2.7 


Massachusetts 


10.3 


12.1 


14.9 


26.3 


13.8 


Michigan 


12.2 


15.4 


19.3 


15.0 


17.0 


Minnesota 


1.6 


3.7 


2.0 


0.0 


2.7 


Mississippi 


3.2 


11.5 


14.5 


0.0 


11.0 


Missouri 


9.2 


4.3 


2.5 


3.1 


4.2 


Montana 


22.5 


28.6 


13.0 


0.0 


21.5 


Nebraska 


3.8 


2.9 


12.8 


0.0 


5.1 


Nevada 


7.7 


50.0 


10.5 


0.0 


18.8 


New Hampshire 


8.3 


3.1 


3.3 


0.0 


3.8 


New Jersey 


2.7 


3.6 


8.0 


8.9 


6.9 


New Mexico 


15.4 


3.1 


21.9 


0.0 


12.8 


New York 


8.3 


9.6 


12.5 


11.1 


11.2 


North Carolina 


1.9 


4.6 


6.6 


17.6 


5.8 


North Dakota 


14.8 


5.6 


4.5 


0.0 


8.0 


Ohio 


5.0 


7.8 


9.1 


15.2 


8.6 


Oklahoma 


26.9 


35.8 


29.0 


57.1 


32.3 


Oregon 


4.3 


10.5 


7.3 


0.0 


8.3 


Pennsylvania 


2.9 


7.5 


8.8 


9.8 


7.6 


Rhode Island 


0.0 


6.9 


11.9 


16.7 


8.5 


South Carolina 


14.0 


16.1 


15.7 


0.0 


14.9 


South Dakota 


8.3 


12.3 


21.4 


n/a 


12.2 


Tennessee 


12.5 


6.5 


9.5 


5.6 


8.8 


Texas 


4.1 


13.1 


11.1 


12.5 


11.0 


Utah 


6.7 


0.0 


0.0 


0.0 


2.1 


Vermont 


14.3 


0.0 


5.3 


n/a 


6.7 


Virginia 


2.6 


8.4 


7.2 


15.0 


7.5 


Washington 


22.4 


19.1 


16.2 


28.6 


18.8 


West Virginia 


9.1 


13.2 


16.1 


0.0 


13.3 


Wisconsin 


5.3 


11.8 


17.0 


20.8 


14.1 


Wyoming 


18.2 


0.0 


7.1 


0.0 


7.1 



Source: OSCAR 
n/a: Data unavailable 



249 



Health Deficiencies 
Physical Restraints 



Table 46 (f). Nursing Home Surveys 
Restraints by Bed Size Category: Un 



Resulting in a Citation for Use of Physical 
ited States, 2001 



Nation 

Alabama 

Alaska 

Arizona 

Arkansas 

California 



Colorado 

Connecticut 

Delaware 

District of Columbia 

Florida 



Georgia 

Hawaii 

Idaho 

Illinois 

Indiana 



Iowa 

Kansas 

Kentucky 

Louisiana 

Maine 



Maryland 

Massachusetts 

Michigan 

Minnesota 

Mississippi 



Missouri 

Montana 

Nebraska 

Nevada 

New Hampshire 



New Jersey 
New Mexico 
New York 
North Carolina 
North Dakota 



Ohio 

Oklahoma 
Oregon 
Pennsylvania 
Rhode Island 



South Carolina 
South Dakota 
Tennessee 
Texas 
Utah 



Vermont 

Virginia 

Washington 

West Virginia 

Wisconsin 

Wyoming 



Source: OSCAR 
n/a: Data unavailable 



Percent by Number of Beds 



<50 



50-99 



100-199 



7.8 

0.0 

0.0 

5.6 

25.0 

11.1 



8.2 
20.0 
0.0 
0.0 
0.0 



4.2 
0.0 

31.3 
6.0 

12.4 



1.8 
6.8 
9.0 
2.2 
5.0 



0.0 
9.3 
12.8 
1.6 
3.3 



9.7 
21.1 
4.0 
0.0 
0.0 



2.9 

15.4 

8.7 

1.9 

12.0 



5.7 
23.8 
4.3 
3.4 
0.0 



11.9 
8.8 

13.0 
2.4 
6.9 



7.7 
2.8 

20.9 
6.9 
3.1 

22.2 



10.9 

7.9 

0.0 

0.0 

22.7 

17.6 



5.1 
19.7 
10.0 
14.3 

7.1 



8.1 

27.3 

17.4 

8.8 

7.4 



2.3 
16.7 
19.8 
27.7 
11.7 



0.0 

10.6 

8.8 

5.5 

14.0 



7.9 

4.3 

3.1 

10.0 

10.3 



7.0 
13.8 
13.7 
10.9 

7.3 



7.0 

26.2 

9.8 

2.4 

18.8 



6.4 

14.8 

15.1 

5.3 

0.0 



25.0 
14.8 
14.7 
14.3 
12.5 
23.1 



12.6 

9.4 
n/a 
11.7 
17.5 
26.1 



18.6 

26.5 

8.0 

0.0 

6.6 



7.8 
60.0 
19.2 
10.7 
10.5 



6.5 
26.4 
13.9 
22.3 

7.7 



2.7 
17.6 
12.0 

1.7 
23.4 



4.9 

7.7 

13.5 

27.3 

6.7 



14.5 
21.4 
14.4 
8.4 
17.4 



7.6 
33.3 
15.2 
10.5 

5.3 



3.2 

14.3 

23.5 

8.9 

9.1 



11.1 
11.6 
14.3 
12.8 
9.7 
7.7 



>199 



15.2 

15.4 
0.0 
13.3 
50.0 
29.6 



20.0 

38.1 

0.0 

0.0 

21.1 



9.1 
50.0 

n/a 
11.3 
30.6 



0.0 

0.0 

20.0 

30.0 

0.0 



6.7 

29.4 

14.3 

4.3 

0.0 



5.6 
0.0 
0.0 
33.3 
0.0 



7.3 

0.0 

14.2 

13.3 

33.3 



17.2 

25.0 

0.0 

9.9 

40.0 



0.0 

n/a 

19.0 

11.8 

0.0 



n/a 
11.1 
16.7 
0.0 
13.3 
n/a 



All Facilities 



11.3 

8.7 

0.0 

8.2 

18.9 

18.7 



10.6 

25.3 

7.5 

4.8 

7.4 



8.0 
37.1 
12.8 

9.5 
10.7 



3.4 
17.9 
14.5 
22.9 

9.4 



2.8 
13.2 
10.5 

4.0 
15.9 



6.1 
10.2 

4.7 
28.0 

6.7 



10.8 

13.9 

13.3 

8.6 

9.7 



7.7 
27.7 
11.4 

7.3 
10.5 



3.9 
13.5 
19.1 

7.2 



11.9 
11.5 
15.1 
10.8 
10.7 
13.2 



I 



250 



Health Deficiencies 
Physical Restraints 



Table 47 (a). Nursing Home Surveys Resulting in a Citation for Use of Physical 
Restraints by Type of Ownership: United States, 1996 







Percent by Ownership 








For-Profit 


Non-Profit Government 


All Facilities 


Nation 


14.4 


14.1 


15.5 


14.4 


Alabama 


20.2 


29.0 


27.3 


22.2 


Alaska 


0.0 


0.0 


0.0 


0.0 


Arizona 


14.8 


20.0 


50.0 


17.7 


Arkansas 


9.8 


27.3 


7.1 


12.3 


California 


27.1 


26.4 


28.1 


27.0 


Colorado 


7.6 


5.1 


4.8 


6.6 


Connecticut 


2.5 


0.0 


0.0 


1.9 


Delaware 


20.0 


14.3 


66.7 


21.6 


District of Columbia 


0.0 


0.0 


0.0 


0.0 


Florida 


16.7 


19.3 


20.0 


17.3 


Georgia 


2.2 


8.2 


0.0 


3.1 


Hawaii 


0.0 


14.3 


18.2 


9.8 


Idaho 


12.2 


15.4 


20.0 


14.6 


Illinois 


14.3 


16.7 


20.0 


15.3 


Indiana 


11.5 


11.4 


13.3 


11.5 


Iowa 


7.1 


9.5 


8.3 


8.1 


Kansas 


14.6 


16.2 


13.3 


15.0 


Kentucky 


12.6 


8.2 


9.1 


11.1 


Louisiana 


6.0 


1.5 


4.0 


5.0 


Maine 


8.2 


9.4 


16.7 


8.8 


Maryland 


4.5 


10.2 


0.0 


6.6 


Massachusetts 


25.8 


12.4 


21.4 


22.6 


Michigan 


23.7 


27.8 


16.7 


24.2 


Minnesota 


13.8 


13.8 


11.1 


13.4 


Mississippi 


10.8 


13.3 


3.2 


10.0 


Missouri 


9.8 


13.2 


16.0 


11.2 


Montana 


13.2 


21.4 


22.2 


18.4 


Nebraska 


7.4 


10.8 


10.2 


9.2 


Nevada 


62.9 


28.6 


50.0 


56.3 


New Hampshire 


10.4 


3.3 


0.0 


6.5 


New Jersey 


6.6 


4.6 


0.0 


5.5 


New Mexico 


17.3 


3.7 


0.0 


11.5 


New York 


8.5 


11.3 


19.6 


10.6 


North Carolina 


10.5 


10.3 


0.0 


10.1 


North Dakota 


20.0 


23.7 


0.0 


22.7 


Ohio 


16.1 


17.2 


26.8 


16.8 


Oklahoma 


19.0 


8.5 


30.0 


18.1 


Oregon 


14.1 


11.8 


0.0 


13.1 


Pennsylvania 


21.6 


14.9 


18.4 


17.8 


Rhode Island 


5.6 


15.4 


n/a 


8.2 


South Carolina 


29.1 


16.1 


10.0 


24.7 


South Dakota 


23.7 


22.7 


0.0 


22.0 


Tennessee 


15.2 


17.7 


20.7 


16.2 


Texas 


7.9 


4.6 


8.1 


7.5 


Utah 


6.8 


0.0 


25.0 


6.5 


Vermont 


18.2 


12.5 


100.0 


20.9 


Virginia 


16.0 


11.8 


41.7 


15.8 


Washington 


17.7 


19.4 


27.3 


18.8 


West Virginia 


12.7 


8.0 


16.7 


12.1 


Wisconsin 


16.0 


10.1 


18.2 


14.1 


Wyoming 


0.0 


0.0 


0.0 


0.0 



Source: OSCAR 
n/a: Data unavailable 



251 



Health Deficiencies 
Physical Restraints 



Table 47 (b). 
Restraints by 



Nursing Home Surveys Resulting in a Citation for Use of Physical 
Type of Ownership: United States, 1997 







Percent by Ownership 








For- Profit 


Non-Profit Government 


All Facilities 


Nation 


14.0 


13.0 


16.1 


13.9 


Alabama 


16.9 


10.7 


22.2 


16.5 


Alaska 


0.0 


12.5 


42.9 


25.0 


Arizona 


18.2 


22.0 


100.0 


20.2 


Arkansas 


12.9 


23.3 


6.7 


14.2 


California 


26.1 


25.0 


32.8 


26.1 


Colorado 


12.9 


3.0 


17.4 


10.5 


Connecticut 


4.2 


3.3 


0.0 


4.0 


Delaware 


0.0 


14.3 


50.0 


11.1 


District of Columbia 


10.0 


0.0 


0.0 


3.8 


Florida 


14.9 


8.1 


9.1 


13.5 


Georgia 


4.0 


1.6 


4.8 


3.6 


Hawaii 


11.1 


7.1 


20.0 


11.9 


Idaho 


25.0 


15.4 


42.1 


27.4 


Illinois 


16.9 


17.6 


13.0 


16.9 


Indiana 


25.6 


27.3 


37.5 


26.4 


Iowa 


9.6 


9.2 


0.0 


9.0 


Kansas 


20.4 


15.3 


16.4 


18.3 


Kentucky 


10.1 


16.3 


30.0 


12.8 


Louisiana 


3.5 


4.2 


0.0 


3.4 


Maine 


6.1 


9.4 


0.0 


6.6 


Maryland 


2.2 


4.2 


0.0 


2.9 


Massachusetts 


16.2 


11.0 


6.7 


14.6 


Michigan 


17.8 


18.8 


24.4 


18.6 


Minnesota 


22.6 


27.3 


21.0 


24.9 


Mississippi 


6.2 


0.0 


3.3 


4.8 


Missouri 


7.0 


6.6 


8.3 


7.0 


Montana 


2.6 


6.5 


10.0 


5.8 


Nebraska 


2.8 


12.5 


5.5 


6.6 


Nevada 


51.6 


66.7 


50.0 


52.4 


New Hampshire 


10.2 


3.4 


0.0 


6.6 


New Jersey 


7.1 


8.2 


0.0 


7.1 


New Mexico 


14.0 


18.5 


14.3 


15.6 


New York 


8.9 


6.8 


20.0 


9.1 


North Carolina 


7.3 


5.8 


5.6 


6.9 


North Dakota 


11.1 


20.0 


0.0 


18.4 


Ohio 


14.1 


10.0 


16.7 


13.3 


Oklahoma 


20.4 


19.6 


18.5 


20.2 


Oregon 


11.0 


15.6 


20.0 


12.3 


Pennsylvania 


22.0 


9.2 


22.2 


15.1 


Rhode Island 


18.1 


4.0 


n/a 


14.4 


South Carolina 


17.0 


17.4 


23.8 


17.9 


South Dakota 


10.5 


23.8 


50.0 


20.0 


Tennessee 


4.0 


4.8 


14.8 


5.0 


Texas 


9.9 


9.1 


5.3 


9.7 


Utah 


1.3 


0.0 


0.0 


1.0 


Vermont 


24.1 


10.0 


n/a 


20.5 


Virginia 


6.3 


2.5 


25.0 


5.7 


Washington 


15.9 


14.1 


13.0 


15.3 


West Virginia 


18.5 


20.0 


37.5 


20.7 


Wisconsin 


16.2 


20.0 


12.9 


17.2 


Wyoming 


5.9 


16.7 


35.7 


18.9 



Source: OSCAR 
n/a: Data unavailable 



252 



Health Deficiencies 
Physical Restraints 



Table 47 (c). Nursing Home Surveys Resulting in a Citation for Use of Physical 
Restraints by Type of Ownership: United States, 1998 







Percent by Ownership 








For- Profit 


Non-Profit Government 


AM Facilities 


Nation 


13.7 


11.9 


13.7 


13.2 


Alabama 


12.6 


9.7 


9.1 


11.9 


Alaska 


0.0 


60.0 


20.0 


43.8 


Arizona 


15.5 


13.3 


33.3 


15.2 


Arkansas 


16.9 


23.8 


21.4 


18.3 


California 


23.0 


23.0 


26.1 


23.1 


Colorado 


6.4 


8.2 


13.0 


7.6 


Connecticut 


3.6 


4.0 


0.0 


3.7 


Delaware 


36.4 


15.4 


50.0 


28.6 


District of Columbia 


0.0 


9.1 


0.0 


5.9 


Florida 


18.4 


9.6 


0.0 


16.2 


Georgia 


3.1 


1.4 


3.8 


2.9 


Hawaii 


10.5 


14.3 


18.2 


13.6 


Idaho 


15.7 


0.0 


15.8 


13.1 


Illinois 


11.4 


15.2 


18.4 


13.0 


Indiana 


29.2 


33.1 


20.0 


29.9 


Iowa 


9.2 


6.9 


4.8 


8.1 


Kansas 


16.5 


10.8 


16.7 


14.6 


Kentucky 


16.3 


13.9 


33.3 


15.9 


Louisiana 


4.3 


2.6 


0.0 


3.7 


Maine 


14.3 


20.0 


20.0 


15.8 


Maryland 


1.7 


0.0 


0.0 


1.0 


Massachusetts 


14.3 


7.7 


0.0 


12.1 


Michigan 


26.6 


18.0 


40.5 


25.7 


Minnesota 


14.5 


20.2 


30.9 


19.7 


Mississippi 


7.0 


5.6 


0.0 


5.7 


Missouri 


6.5 


6.1 


5.7 


6.3 


Montana 


11.8 


29.5 


31.3 


23.4 


Nebraska 


7.1 


2.7 


11.1 


6.7 


Nevada 


36.8 


0.0 


28.6 


33.3 


New Hampshire 


6.5 


0.0 


0.0 


3.6 


New Jersey 


5.3 


4.2 


0.0 


4.7 


New Mexico 


6.4 


14.3 


0.0 


8.2 


New York 


7.3 


8.5 


10.0 


8.1 


North Carolina 


10.7 


8.2 


6.7 


10.0 


North Dakota 


0.0 


17.5 


50.0 


16.3 


Ohio 


10.7 


14.4 


0.0 


11.2 


Oklahoma 


24.7 


17.0 


4.5 


22.7 


Oregon 


16.9 


8.3 


0.0 


14.5 


Pennsylvania 


18.3 


8.8 


19.1 


13.3 


Rhode Island 


12.8 


9.5 


n/a 


12.1 


South Carolina 


13.4 


0.0 


5.3 


10.6 


South Dakota 


19.4 


22.2 


40.0 


22.2 


Tennessee 


4.8 


4.9 


2.9 


4.6 


Texas 


9.1 


5.9 


2.4 


8.4 


Utah 


4.1 


0.0 


0.0 


3.2 


Vermont 


12.0 


8.3 


0.0 


10.5 


Virginia 


15.8 


8.5 


10.0 


13.0 


Washington 


19.6 


17.6 


23.8 


19.4 


West Virginia 


13.0 


9.5 


16.7 


12.3 


Wisconsin 


17.1 


9.7 


8.2 


13.1 


Wyoming 


10.5 


16.7 


33.3 


20.9 



Source: OSCAR 
n/a: Data unavailable 



253 



Health Deficiencies 
Physical Restraints 



Table 47 (d). 
Restraints by 



Nursing Home Surveys Resulting in a Citation for Use of Physical 
Type of Ownership: United States, 1999 







Percent by Ownership 








For- Profit 


Non-Profit Government 


All Facilities 


Nation 


12.7 


11.8 


10.7 


11.8 


Alabama 


10.3 


5.3 


23.8 


12.3 


Alaska 


100.0 


50.0 


40.0 


43.8 


Arizona 


17.5 


10.0 


33.3 


20.7 


Arkansas 


24.9 


26.2 


0.0 


25.3 


California 


24.4 


20.6 


14.0 


21.9 


Colorado 


11.0 


7.1 


4.0 


8.8 


Connecticut 


7.9 


5.3 


0.0 


7.5 


Delaware 


18.8 


10.0 


33.3 


20.0 


District of Columbia 


0.0 


0.0 


100.0 


6.7 


Florida 


10.4 


8.1 


15.4 


9.9 


Georgia 


7.6 


8.9 


0.0 


7.5 


Hawaii 


28.6 


27.3 


27.3 


25.6 


Idaho 


13.5 


15.4 


5.3 


11.9 


Illinois 


12.5 


10.9 


11.1 


12.8 


Indiana 


18.1 


16.4 


5.9 


17.5 


Iowa 


0.9 


1.6 


0.0 


1.3 


Kansas 


17.5 


13.6 


9.1 


15.6 


Kentucky 


13.8 


13.1 


20.0 


13.1 


Louisiana 


1.8 


2.6 


0.0 


2.7 


Maine 


6.5 


3.0 


0.0 


6.9 


Maryland 


11.5 


20.8 


16.7 


8.4 


Massachusetts 


13.4 


13.8 


0.0 


11.8 


Michigan 


19.7 


21.4 


17.9 


18.8 


Minnesota 


4.8 


2.7 


3.4 


2.5 


Mississippi 


12.6 


9.2 


3.8 


10.5 


Missouri 


5.1 


6.0 


8.2 


6.0 


Montana 


13.5 


30.3 


26.3 


20.0 


Nebraska 


4.7 


8.7 


14.3 


7.2 


Nevada 


29.0 


9.1 


20.0 


22.7 


New Hampshire 


5.6 


3.1 


0.0 


4.3 


New Jersey 


5.5 


3.8 


5.6 


5.4 


New Mexico 


14.6 


18.2 


20.0 


13.8 


New York 


8.9 


18.6 


19.6 


10.8 


North Carolina 


7.9 


8.7 


5.9 


7.6 


North Dakota 


0.0 


5.0 


0.0 


3.2 


Ohio 


11.2 


9.9 


6.7 


9.6 


Oklahoma 


23.9 


25.4 


23.5 


24.1 


Oregon 


17.6 


11.3 


0.0 


15.1 


Pennsylvania 


11.2 


9.8 


15.6 


11.0 


Rhode Island 


17.6 


17.6 


n/a 


14.1 


South Carolina 


18.1 


15.2 


11.8 


15.1 


South Dakota 


21.2 


14.8 


0.0 


25.0 


Tennessee 


2.1 


3.2 


11.4 


3.4 


Texas 


9.5 


9.1 


7.5 


8.9 


Utah 


3.2 


3.7 


0.0 


2.4 


Vermont 


3.3 


7.1 


0.0 


4.3 


Virginia 


15.2 


9.5 


0.0 


13.0 


Washington 


20.0 


17.1 


21.7 


19.3 


West Virginia 


18.7 


11.3 


6.7 


14.9 


Wisconsin 


15.0 


8.2 


7.9 


11.4 


Wyoming 


27.8 


42.9 


29.4 


25.0 



Source: OSCAR 
n/a: Data unavailable 



254 



Health Deficiencies 
Physical Restraints 



Table 47 (e). 
Restraints by 



Nursing Home Surveys Resulting in a Citation for Use of Physical 
Type of Ownership: United States, 2000 







Percent by Ownership 








For- Profit 


Non-Profit Government 


All Facilities 


Nation 


12.1 


8.9 


11.4 


11.2 


Alabama 


7.1 


7.1 


15.8 


8.0 


Alaska 


n/a 


22.2 


0.0 


14.3 


Arizona 


20.4 


15.9 


0.0 


18.4 


Arkansas 


25.1 


28.6 


30.8 


25.9 


California 


20.3 


17.6 


12.5 


19.4 


Colorado 


11.6 


6.9 


9.1 


10.1 


Connecticut 


10.6 


15.3 


0.0 


11.5 


Delaware 


15.0 


21.1 


20.0 


18.2 


District of Columbia 


0.0 


7.7 


0.0 


4.8 


Florida 


8.2 


6.2 


0.0 


7.6 


Georgia 


7.2 


7.3 


12.0 


7.5 


Hawaii 


17.6 


6.7 


0.0 


9.8 


Idaho 


32.6 


26.7 


36.8 


32.5 


Illinois 


13.0 


7.8 


17.9 


11.6 


Indiana 


13.0 


9.5 


7.1 


12.0 


Iowa 


0.8 


2.7 


0.0 


1.6 


Kansas 


15.6 


7.5 


10.4 


12.7 


Kentucky 


15.6 


10.8 


37.5 


14.6 


Louisiana 


11.4 


3.4 


0.0 


9.5 


Maine 


6.4 


0.0 


0.0 


4.8 


Maryland 


2.6 


3.0 


0.0 


2.7 


Massachusetts 


16.9 


7.8 


0.0 


13.8 


Michigan 


16.8 


16.8 


19.0 


17.0 


Minnesota 


2.3 


3.5 


0.0 


2.7 


Mississippi 


8.9 


16.7 


17.4 


11.0 


Missouri 


3.2 


5.3 


7.7 


4.2 


Montana 


11.4 


34.9 


6.7 


21.5 


Nebraska 


6.0 


5.6 


2.4 


5.1 


Nevada 


20.6 


12.5 


0.0 


18.8 


New Hampshire 


2.5 


3.7 


8.3 


3.8 


New Jersey 


8.6 


2.7 


7.7 


6.9 


New Mexico 


18.4 


4.5 


0.0 


12.8 


New York 


6.3 


13.7 


26.5 


11.2 


North Carolina 


7.0 


2.0 


5.6 


5.8 


North Dakota 


16.7 


5.6 


33.3 


8.0 


Ohio 


10.0 


5.2 


3.4 


8.6 


Oklahoma 


32.2 


31.8 


33.3 


32.3 


Oregon 


10.3 


3.0 


0.0 


8.3 


Pennsylvania 


8.6 


6.6 


10.3 


7.6 


Rhode Island 


9.2 


5.6 


n/a 


8.5 


South Carolina 


15.6 


16.0 


9.1 


14.9 


South Dakota 


8.7 


15.5 


0.0 


12.2 


Tennessee 


9.7 


5.7 


10.3 


8.8 


Texas 


11.6 


9.8 


0.0 


11.0 


Utah 


1.3 


6.3 


0.0 


2.1 


Vermont 


0.0 


20.0 


0.0 


6.7 


Virginia 


10.1 


3.2 


0.0 


7.5 


Washington 


19.3 


14.3 


30.0 


18.8 


West Virginia 


14.4 


7.9 


23.1 


13.3 


Wisconsin 


15.1 


11.6 


19.3 


14.1 


Wyoming 


4.5 


0.0 


14.3 


7.1 



Source: OSCAR 
n/a: Data unavailable 



255 



Health Deficiencies 
Physical Restraints 



Table 47 (f). Nursing 
Restraints by Type of 



Home Surveys Resulting in a Citation for Use of Physical 
Ownership: United States, 2001 



Percent by Ownership 



For-Profit 



Non-Profit 



Government 



All Facilities 



Nation 

Alabama 

Alaska 

Arizona 

Arkansas 

California 



12.6 

9.4 

0.0 

9.5 

20.6 

20.3 



8.4 

7.4 

0.0 

5.4 

12.2 

12.8 



10.5 

5.3 

0.0 
0.0 

11.1 

17.8 



11.3 

8.7 

0.0 

8.2 

18.9 

18.7 



Colorado 

Connecticut 

Delaware 

District of Columbia 

Florida 



13.3 

27.3 
5.3 
0.0 
7.4 



3.8 
19.6 
5.6 
7.7 
6.5 



9.5 
0.0 

33.3 
0.0 

15.4 



10.6 

25.3 

7.5 

4.8 

7.4 



Georgia 

Hawaii 

Idaho 

Illinois 

Indiana 



7.4 
37.5 
11.1 
10.0 
11.3 



8.6 

23.1 

14.3 

7.7 

9.5 



12.0 
66.7 
15.8 
11.4 
6.3 



8.0 
37.1 
12.8 

9.5 
10.7 



Iowa 

Kansas 

Kentucky 

Louisiana 

Maine 



3.4 
25.3 
17.2 
20.4 



3.2 

8.9 

10.1 

32.8 

10.7 



4.2 
13.2 

0.0 
23.8 
16.7 



3.4 
17.9 
14.5 
22.9 

9.4 



Maryland 

Massachusetts 

Michigan 

Minnesota 

Mississippi 



2.5 
14.2 
10.5 

3.8 
17.9 



1.7 
10.4 
11.5 

3.8 
11.1 



16.7 

16.7 

8.3 

5.1 

10.7 



2.8 
13.2 
10.5 

4.0 
15.9 



Missouri 

Montana 

Nebraska 

Nevada 

New Hampshire 



6.9 
7.1 
4.1 
24.3 
2.5 



3.2 

7.3 

5.5 

37.5 

13.0 



10.3 

21.1 
5.1 

40.0 
8.3 



6.1 
10.2 

4.7 
28.0 

6.7 



New Jersey 
New Mexico 
New York 
North Carolina 
North Dakota 



12.4 
14.9 
13.8 
9.3 
11.1 



7.8 
15.0 
12.5 

8.2 
10.0 



10.5 
0.0 

14.3 
0.0 
0.0 



10.8 

13.9 

13.3 

8.6 

9.7 



Ohio 

Oklahoma 
Oregon 
Pennsylvania 
Rhode Island 



9.5 
30.9 
12.1 
10.0 
12.5 



2.8 
9.5 
8.6 
4.6 
4.3 



6.7 

8.3 

16.7 

10.3 

n/a 



7.7 
27.7 
11.4 

7.3 
10.5 



South Carolina 
South Dakota 
Tennessee 
Texas 
Utah 



3.7 
5.9 
21.1 
8.5 
7.9 



9.5 
18.8 

14.0 
2.2 
0.0 



0.0 
0.0 
17.2 
0.0 
0.0 



3.9 
13.5 
19.1 

7.2 



Vermont 

Virginia 

Washington 

West Virginia 

Wisconsin 

Wyoming 



14.3 
12.3 
14.3 
11.0 
11.3 
21.4 



7.7 
11.4 
17.5 

3.6 
11.0 

0.0 



0.0 

0.0 

14.8 

30.0 

8.1 

10.5 



11.9 
11.5 
15.1 
10.8 
10.7 
13.2 



Source: OSCAR 
n/a: Data unavailable 



256 



Health Deficiencies 
Physical Restraints 



Table 48 (a). Nursing Home 
Pressure Ulcers by Bed Size 



Surveys Resulting in a Citation for Failure to Treat or Prevent 
Category: United States, 1996 



Percent by Number of Beds 



<50 



50-99 



100-199 



>199 



All Facilities 



Nation 

Alabama 

Alaska 

Arizona 

Arkansas 

California 



7.9 

5.9 

0.0 

3.3 

15.2 

12.4 



15.1 

19.5 

0.0 

8.8 

27.9 

20.4 



17.8 

26.2 
n/a 
4.3 
33.3 
26.5 



19.0 

50.0 

0.0 

0.0 

50.0 

27.0 



15.3 

23.1 

0.0 

4.8 

29.5 

20.3 



Colorado 

Connecticut 

Delaware 

District of Columbia 

Florida 



14.3 
5.6 

0.0 
0.0 
1.2 



13.2 

9.7 
12.5 
12.5 
14.4 



24.7 
13.3 
16.7 
66.7 
17.5 



14.3 
24.0 
n/a 
20.0 
21.2 



17.9 
12.8 
13.5 
20.0 
15.0 



Georgia 

Hawaii 

Idaho 

Illinois 

Indiana 



0.0 
6.7 
3.0 
8.9 
15.0 



12.7 

0.0 

8.0 

13.8 

16.3 



9.5 
18.2 

4.3 
17.9 
20.9 



12.5 

0.0 

0.0 

12.2 

24.1 



10.2 

7.3 

4.9 

14.5 

18.5 



Iowa 

Kansas 

Kentucky 

Louisiana 

Maine 



6.2 
21.0 
1.2 
3.4 
2.6 



21.4 

32.1 

2.4 

9.7 

6.1 



27.5 

47.1 
6.9 
7.1 
3.6 



27.3 
60.0 
14.3 
14.3 
33.3 



20.3 

32.4 

3.8 

7.4 
5.1 



Maryland 

Massachusetts 

Michigan 

Minnesota 

Mississippi 



0.0 
1.6 
8.9 
5.8 

2.4 



4.1 

8.1 

24.3 

10.3 

9.0 



11.1 

7.6 
48.2 
14.6 
26.7 



16.1 
19.0 
38.6 
15.4 
0.0 



36.1 
11.5 
14.0 



Missouri 

Montana 

Nebraska 

Nevada 

New Hampshire 



11.9 

12.5 

0.0 

0.0 



16.7 
15.2 
14.5 
37.5 
28.2 



15.1 
28.6 
33.3 
31.3 

9.7 



14.3 

100.0 

40.0 

0.0 

28.6 



14.1 
18.4 
18.4 
16.7 
17.4 



New Jersey 
New Mexico 
New York 
North Carolina 
North Dakota 



2.9 
5.3 

8.9 

4.3 

17.4 



3.3 
3.4 

11.1 
9.0 

20.5 



4.0 

8.1 

14.5 

11.8 

33.3 



10.4 

0.0 

14.7 

16.7 

100.0 



5.0 

5.7 

13.6 

10.1 

25.0 



Ohio 

Oklahoma 
Oregon 
Pennsylvania 
Rhode Island 



14.6 
4.4 

10.8 
3.2 
0.0 



11.1 
9.2 

28.2 
7.4 
6.3 



20.9 
16.6 
18.6 
15.7 
9.8 



27.8 
42.9 
0.0 
15.3 
16.7 



17.8 
11.6 
20.8 
11.4 
7.1 



South Carolina 
South Dakota 
Tennessee 
Texas 
Utah 



Vermont 

Virginia 

Washington 

West Virginia 

Wisconsin 

Wyoming 



20.0 

11.1 

11.5 

4.9 

0.0 



7.1 
2.5 
11.6 
0.0 
9.5 
0.0 



21.5 
25.8 
12.2 
11.6 
5.9 



9.1 
12.8 
31.8 
1.9 
7.6 
5.3 



29.9 
13.3 
13.2 
13.0 
16.7 



16.7 

14.4 
34.7 
7.7 
13.4 
18.2 



33.3 

0.0 
28.6 
17.4 

0.0 



n/a 
23.8 
20.0 
100.0 
16.1 
0.0 



24.7 
20.2 
13.6 
11.3 
7.5 



11.6 
12.9 
29.6 

4.3 
10.9 

7.7 



Source: OSCAR 
n/a: Data unavailable 



257 



Health Deficiencies 
Pressure Ulcers 



Table 48 (b). Nursing Home 
Pressure Ulcers by Bed Size 



Surveys Resulting in a Citation for Failure to Treat or Prevent 
Category: United States, 1997 



Percent by Number of Beds 



<50 



50-99 



100-199 



>199 



All Facilities 



Nation 

Alabama 

Alaska 

Arizona 

Arkansas 

California 



7.8 

18.2 
0.0 
4.8 
5.7 

12.6 



15.6 

42.3 

0.0 

7.7 

30.3 

22.5 



19.5 

62.7 
n/a 
1.6 
32.6 
30.6 



21.4 

55.6 

0.0 

0.0 

42.9 

40.3 



16.3 

52.0 

0.0 

3.4 

28.7 

22.8 



Colorado 

Connecticut 

Delaware 

District of Columbia 

Florida 



3.1 

18.8 

40.0 

0.0 

8.7 



12.2 
8.3 
0.0 

10.9 



19.8 
21.9 
55.6 
0.0 
19.8 



14.3 
14.8 
100.0 
50.0 
22.6 



11.4 
18.1 
42.2 
15.4 
16.6 



Georgia 

Hawaii 

Idaho 

Illinois 

Indiana 



0.0 
21.4 

6.3 
15.2 

7.0 



6.3 
28.6 
16.0 
25.5 
11.8 



9.6 

0.0 

29.6 

18.5 

17.8 



16.0 
0.0 
n/a 
23.4 
12.3 



8.4 
16.7 
16.7 
21.2 
13.1 



Iowa 

Kansas 

Kentucky 

Louisiana 

Maine 



11.1 

16.5 

6.1 

1.7 

2.3 



15.7 

29.4 

5.8 

7.7 
7A 



23.1 

43.3 

11.1 

10.2 

4.8 



22.2 
33.3 

20.0 
4.2 
0.0 



16.8 

29.0 

7.9 

8.0 

5.1 



Maryland 

Massachusetts 

Michigan 

Minnesota 

Mississippi 



2.3 
3.5 

25.5 
0.0 

10.9 



16.3 
5.2 

28.7 
6.2 

18.8 



11.6 
9.1 
39.1 
13.9 
22.5 



12.9 
9.5 

48.6 
7.4 
0.0 



10.9 
7.0 

35.4 
8.2 

18.1 



Missouri 

Montana 

Nebraska 

Nevada 

New Hampshire 



3.3 

19.0 
5.0 
5.6 
8.3 



11.8 
8.6 
12.2 
14.3 
19.5 



14.7 
28.0 
14.6 
53.3 
30.3 



35.7 
0.0 
0.0 
0.0 

20.0 



12.9 
17.3 
10.7 
23.8 
22.0 



New Jersey 
New Mexico 
New York 
North Carolina 
North Dakota 



6.5 
0.0 
6.8 
0.0 
15.0 



4.3 
6.5 

10.2 
4.0 

24.2 



4.3 
3.6 

15.2 
9.6 

52.4 



11.7 
0.0 

12.6 
0.0 
0.0 



5.8 
3.9 

12.8 
6.1 

28.9 



Ohio 

Oklahoma 
Oregon 
Pennsylvania 
Rhode Island 



7.2 
2.7 
9.1 
5.0 
5.0 



19.8 

10.2 

24.2 

8.4 

5.9 



27.3 
17.4 
18.5 
13.9 
13.5 



30.7 

0.0 

0.0 

14.1 

16.7 



22.3 
11.1 
18.7 
10.9 
9.3 



South Carolina 
South Dakota 
Tennessee 
Texas 
Utah 



15.4 
4.5 
5.4 
5.3 
3.6 



18.8 
8.6 
16.2 
12.5 
11.8 



31.4 

0.0 

12.7 

15.5 

9.4 



33.3 

100.0 

31.6 

25.5 

0.0 



23.5 

7.6 

13.6 

13.2 

8.3 



Vermont 

Virginia 

Washington 

West Virginia 

Wisconsin 

Wyoming 



0.0 
0.0 

18.4 
0.0 
0.0 

11.1 



15.4 
9.9 

31.4 
8.1 
6.5 
6.3 



25.0 
23.9 
39.8 
11.1 
12.0 
18.2 



n/a 
40.0 
60.0 
33.3 
34.0 
100.0 



15.4 
17.1 
33.6 
8.0 
11.0 
13.5 



Source: OSCAR 
n/a: Data unavailable 



258 



Health Deficiencies 
Pressure Ulcers 



Table 48 (c). Nursing Home 
Pressure Ulcers by Bed Size 



Surveys Resulting in a Citation for Failure to Treat or Prevent 
Category: United States, 1998 



Percent by Number of Beds 



<50 



50-99 



100-199 



>199 



All Facilities 



Nation 

Alabama 

Alaska 

Arizona 

Arkansas 

California 



9.9 

35.7 
0.0 
3.7 
6.7 

13.1 



16.3 

17.4 

0.0 

3.8 

19.4 

23.3 



20.6 

28.2 
n/a 
20.3 
32.5 
34.3 



21.2 

10.0 
0.0 

13.3 
0.0 

50.0 



17.3 

23.8 
0.0 
12.9 
23.6 
24.9 



Colorado 

Connecticut 

Delaware 

District of Columbia 

Florida 



5.5 

6.7 
0.0 
0.0 
7.9 



9.2 

20.0 

0.0 

0.0 

18.2 



11.9 
25.5 
35.3 
20.0 
24.0 



33.3 

31.8 

100.0 

20.0 

25.0 



10.3 
23.4 
25.0 
11.8 
20.6 



Georgia 

Hawaii 

Idaho 

Illinois 

Indiana 



3.0 
11.8 
14.3 
14.5 
12.6 



7.3 
63.6 
26.9 
26.6 
17.8 



12.7 
8.3 
40.0 
27.1 
20.7 



11.5 

25.0 
n/a 
27.2 
27.3 



10.1 
25.0 
27.4 
25.3 
18.6 



Iowa 

Kansas 

Kentucky 

Louisiana 

Maine 



5.0 
17.2 
9.2 
5.5 
0.0 



15.7 

33.6 

16.4 

9.2 

3.1 



21.5 
42.7 
13.3 
12.9 
11.8 



11.1 
25.0 
16.7 
12.0 
25.0 



15.1 
30.6 
13.4 
11.1 
3.8 



Maryland 

Massachusetts 

Michigan 

Minnesota 

Mississippi 



2.4 

5.0 

20.0 

12.1 

16.3 



15.1 

22.2 

7.2 

13.6 



16.0 
9.4 
37.1 
22.5 
16.0 



11.1 
19.0 
46.9 
36.0 
60.0 



10.2 
10.3 
31.4 
14.7 
16.2 



Missouri 

Montana 

Nebraska 

Nevada 

New Hampshire 



9.4 
13.2 
12.5 

5.6 
11.8 



12.9 
19.4 
13.0 
50.0 
11.8 



19.9 
17.4 
30.6 
38.9 
22.2 



25.9 
50.0 
75.0 
25.0 
0.0 



15.9 
17.0 
17.5 
27.1 
14.5 



New Jersey 
New Mexico 
New York 
North Carolina 
North Dakota 



0.0 

21.4 

9.8 

1.9 

22.2 



4.9 
7.1 

11.2 
7.4 

25.0 



9.3 

6.9 

14.8 

17.5 

17.4 



9.3 

0.0 

10.0 

10.0 

0.0 



7.3 

9.6 

12.1 

11.8 

21.7 



Ohio 

Oklahoma 
Oregon 
Pennsylvania 
Rhode Island 



12.6 

8.6 

14.3 

10.9 

0.0 



20.7 
10.0 
14.5 
11.8 
0.0 



23.8 
17.4 
17.0 
20.4 
18.6 



20.8 
20.0 
0.0 
15.3 
12.5 



21.0 
12.6 
15.1 
16.0 
9.1 



South Carolina 
South Dakota 
Tennessee 
Texas 
Utah 



22.2 
0.0 
1.7 
5.2 
9.4 



33.9 
15.8 
15.5 
11.6 
13.8 



31.3 
38.5 
13.9 
14.9 
12.9 



20.0 
0.0 
4.2 

19.1 
0.0 



30.0 
15.6 
11.7 
12.4 
11.7 



Vermont 

Virginia 

Washington 

West Virginia 

Wisconsin 

Wyoming 



Source: OSCAR 
n/a: Data unavailable 



10.0 
5.7 

19.2 
0.0 
5.0 

15.4 



0.0 
11.5 
28.1 
0.0 
6.0 
0.0 



21.4 
19.1 
35.8 
10.3 
9.3 
16.7 



n/a 
13.3 
62.5 
n/a 
28.3 
0.0 



10.5 

14.3 

30.4 

3.7 

9.8 

9.3 



259 



Health Deficiencies 
Pressure Ulcers 



Table 48 (d). Nursing Home 
Pressure Ulcers by Bed Size 



Surveys Resulting in a Citation for Failure to Treat or Prevent 
Category: United States, 1999 



Percent by Number of Beds 



<50 



50-99 



100-199 



>199 



All Facilities 



Nation 

Alabama 

Alaska 

Arizona 

Arkansas 

California 



10.8 

12.5 

9.1 

0.0 

12.9 

20.6 



17.4 

21.3 
25.0 
15.0 
29.8 
28.1 



21.6 

34.0 
n/a 
22.9 
23.8 
31.9 



25.4 

33.3 

0.0 
50.0 

0.0 
38.9 



18.6 

27.6 
12.5 
19.5 
24.1 
27.9 



Colorado 

Connecticut 

Delaware 

District of Columbia 

Florida 



5.5 
7.7 
0.0 
0.0 
2.0 



9.4 
12.0 
20.0 
16.7 
11.0 



12.1 

19.4 

23.8 

0.0 

16.5 



25.0 

36.0 

0.0 

0.0 

16.2 



10.0 
18.3 
20.0 
6.7 
13.5 



Georgia 

Hawaii 

Idaho 

Illinois 

Indiana 



0.0 

17.6 
10.3 
14.2 
13.4 



8.0 

9.1 

26.9 

31.9 

10.2 



17.1 
33.3 
37.9 
30.0 
23.2 



24.0 
0.0 
n/a 
26.1 
31.4 



13.3 
18.6 
25.0 
27.9 
17.2 



Iowa 

Kansas 

Kentucky 

Louisiana 

Maine 



10.0 
16.8 
10.1 
0.0 
10.9 



12.8 
31.7 
15.9 
13.2 
10.6 



19.4 
41.6 
27.8 
12.6 
16.7 



28.6 
42.9 
33.3 
18.5 
0.0 



14.1 
29.5 
18.7 
11.4 
11.5 



Maryland 

Massachusetts 

Michigan 

Minnesota 

Mississippi 



3.3 

1.2 
13.3 

5.8 
11.1 



12.5 
8.0 

30.8 
9.1 

17.1 



28.6 
14.0 
34.4 
20.2 
22.7 



21.1 
10.0 
42.9 
31.3 
66.7 



19.6 
10.0 
31.8 
13.6 
18.9 



Missouri 

Montana 

Nebraska 

Nevada 

New Hampshire 



11.1 
25.6 
10.0 
0.0 
15.4 



17.2 
48.5 
13.5 
18.2 
15.6 



29.3 
32.1 
18.8 
35.0 
36.8 



40.0 

0.0 

0.0 

40.0 

40.0 



22.4 
34.3 
13.6 
25.0 
23.2 



New Jersey 
New Mexico 
New York 
North Carolina 
North Dakota 



0.0 
0.0 

31.8 
2.4 

13.8 



11.3 
3.0 
18.6 
13.0 
22.5 



14.1 
6.3 
24.1 
17.8 
47.8 



22.6 
0.0 
17.2 
30.8 
50.0 



13.6 
3.8 
21.3 
14.9 
26.6 



Ohio 

Oklahoma 
Oregon 
Pennsylvania 
Rhode Island 



16.4 
8.3 

25.0 
8.1 
0.0 



19.8 
7.0 
32.3 
15.0 
11.8 



24.8 
19.1 
35.2 
18.3 
18.6 



37.7 
33.3 

100.0 

21.3 

0.0 



23.1 
12.2 
32.9 
16.1 
12.1 



South Carolina 
South Dakota 
Tennessee 
Texas 
Utah 



23.5 
4.2 
7.4 
5.4 
0.0 



15.2 
13.0 
12.6 
10.5 
18.5 



26.1 
50.0 
17.8 
13.5 
16.0 



0.0 
n/a 
31.8 
12.5 
n/a 



21.7 

14.8 
15.7 
11.3 
11.0 



Vermont 

Virginia 

Washington 

West Virginia 

Wisconsin 

Wyoming 



13.3 

5.4 

12.0 

3.4 

5.9 

15.4 



0.0 
11.6 
26.7 

3.2 
11.4 

0.0 



11.1 
18.5 
36.0 
14.6 
10.1 
16.7 



n/a 
18.8 
62.5 

0.0 
24.5 

0.0 



8.5 
14.4 
28.8 

7.1 
12.1 
10.0 



Source: OSCAR 
n/a: Data unavailable 



260 



Health Deficiencies 
Pressure Ulcers 



Table 48 (e). Nursing Home 
Pressure Ulcers by Bed Size 



Surveys Resulting in a Citation for Failure to Treat or Prevent 
Category: United States, 2000 



Percent by Number of Beds 



<50 



50-99 



100-199 



>199 



All Facilities 



Nation 

Alabama 

Alaska 

Arizona 

Arkansas 

California 



10.3 

8.3 

0.0 

0.0 

7.1 

15.8 



16.1 

16.4 
0.0 
10.0 
21.5 
26.4 



21.6 

19.1 
n/a 
18.2 
30.1 
32.3 



24.7 

22.2 
0.0 
13.3 
16.7 
35.8 



18.2 

17.6 
0.0 
13.5 
24.4 
26.2 



Colorado 

Connecticut 

Delaware 

District of Columbia 

Florida 



7.8 
6.7 
0.0 
0.0 
4.9 



17.3 

18.2 

9.1 

12.5 



24.4 
31.2 
22.2 
0.0 
11.5 



66.7 
30.4 
0.0 
16.7 
15.0 



19.3 

26.0 

15.9 

9.5 

10.5 



Georgia 

Hawaii 

Idaho 

Illinois 

Indiana 



8.3 
11.8 
12.9 
15.4 
16.5 



11.6 
33.3 

24.0 
25.6 
12.0 



16.1 

53.8 
25.0 
29.3 
19.6 



4.3 

0.0 

n/a 

22.2 

19.5 



13.3 

29.3 
20.0 
25.1 
16.4 



Iowa 

Kansas 

Kentucky 

Louisiana 

Maine 



1.3 

18.5 
7.2 
2.2 
0.0 



10.9 
29.8 
10.9 
20.5 
3.0 



15.5 
42.3 
24.0 
10.1 
11.8 



0.0 
28.6 
33.3 
25.0 

0.0 



10.0 
29.0 
14.9 
12.2 
3.2 



Maryland 

Massachusetts 

Michigan 

Minnesota 

Mississippi 



2.2 
3.4 
12.2 
9.5 
9.7 



5.8 

7.6 

25.2 

10.6 

14.9 



12.4 
16.5 
29.1 
17.6 
22.4 



2.9 
15.8 
32.5 
34.8 
66.7 



8.0 
11.8 
26.5 
14.0 
18.5 



Missouri 

Montana 

Nebraska 

Nevada 

New Hampshire 



19.7 

30.0 

7.5 

7.7 

16.7 



16.5 
25.0 
15.5 
25.0 



33.5 

30.4 
17.9 
36.8 
20.0 



37.5 

50.0 
0.0 

25.0 
0.0 



25.1 

29.0 
13.6 
25.0 
13.9 



New Jersey 
New Mexico 
New York 
North Carolina 
North Dakota 



0.0 
0.0 

25.0 
0.0 

22.2 



9.1 
9.4 
28.8 
9.9 
8.3 



25.1 
3.1 
31.3 
17.4 
13.6 



21.4 

0.0 

26.6 

23.5 

0.0 



19.1 
5.1 
28.8 
12.9 
13.8 



Ohio 

Oklahoma 
Oregon 
Pennsylvania 
Rhode Island 



9.1 

11.5 

26.1 

8.0 

5.9 



18.7 

6.0 

19.7 

13.9 

0.0 



25.9 
18.5 
27.3 
21.7 
19.0 



33.3 

28.6 

50.0 

27.2 

0.0 



22.1 
12.0 
23.7 
18.3 
9.6 



South Carolina 
South Dakota 
Tennessee 
Texas 
Utah 



4.7 
5.6 
6.3 
6.8 

0.0 



17.9 

6.8 

8.6 

12.9 

15.6 



20.0 
14.3 
14.8 
18.8 
24.2 



16.7 
n/a 
33.3 
22.9 
0.0 



15.4 
7.3 
12.8 
15.5 
13.4 



Vermont 

Virginia 

Washington 

West Virginia 

Wisconsin 

Wyoming 



21.4 
2.6 

20.4 
6.1 
7.9 

54.5 



0.0 
7.2 

31.8 
1.5 
6.5 

18.8 



21.1 
19.4 
29.5 
8.9 
7.1 
21.4 



n/a 
30.0 
28.6 

0.0 
25.0 

0.0 



15.6 
14.3 
28.8 
5.1 
9.1 
28.6 



Source: OSCAR 
n/a: Data unavailable 



261 



Health Deficiencies 
Pressure Ulcers 



I 

I 

I 

i 



Table 48 (f). Nursing Home Surveys Resulting 
Pressure Ulcers by Bed Size Category; United 



in a Citation for Failure to Treat or Prevent 
States, 2001 







Percent by N 


umber of Beds 








<50 


50-99 


100-199 


>199 


All Facilities 


Nation 


9.0 


15.9 


20.3 


22.6 


17.2 


Alabama 


9.1 


10.5 


14.2 


23.1 


13.1 


Alaska 


0.0 


0.0 


n/a 


0.0 


0.0 


Arizona 


0.0 


0.0 


15.6 


13.3 


10.4 


Arkansas 


0.0 


26.8 


20.8 


25.0 


21.3 


California 


12.7 


23.2 


30.0 


33.3 


23.3 


Colorado 


19.6 


22.8 


32.6 


0.0 


25.5 


Connecticut 


7.7 


26.8 


38.2 


28.6 


32.4 


Delaware 


0.0 


20.0 


24.0 


0.0 


20.0 


District of Columbia 


50.0 


28.6 


16.7 


50.0 


33.3 


Florida 


2.7 


7.9 


11.2 


10.5 


9.6 


Georgia 


3.7 


9.0 


14.0 


13.6 


11.5 


Hawaii 


8.3 


27.3 


10.0 


0.0 


14.3 


Idaho 


3.4 


8.7 


19.2 


n/a 


10.3 


Illinois 


9.4 


28.8 


28.2 


16.9 


24.3 


Indiana 


9.2 


14.8 


14.2 


22.2 


13.9 


Iowa 


5.7 


6.2 


10.9 


12.5 


7.2 


Kansas 


18.7 


28.6 


24.5 


50.0 


25.4 


Kentucky 


9.1 


21.6 


25.7 


20.0 


20.1 


Louisiana 


5.6 


23.1 


18.4 


20.0 


18.0 


Maine 


4.8 


3.3 


7.7 


0.0 


4.3 


Maryland 


3.6 


7.7 


10.7 


6.7 


8.3 


Massachusetts 


1.2 


13.0 


15.7 


29.4 


13.0 


Michigan 


8.0 


23.1 


28.3 


28.6 


24.5 


Minnesota 


5.3 


7.0 


11.6 


13.0 


8.5 


Mississippi 


10.0 


9.3 


20.8 


50.0 


14.4 


Missouri 


8.3 


9.4 


22.0 


44.4 


16.1 


Montana 


16.2 


30.4 


23.1 


0.0 


21.6 


Nebraska 


20.4 


10.2 


21.6 


100.0 


16.2 


Nevada 


0.0 


0.0 


22.7 


33.3 


14.0 


New Hampshire 


15.4 


6.9 


20.0 


0.0 


13.3 


New Jersey 


7.9 


8.8 


28.3 


27.3 


22.3 


New Mexico 


0.0 


10.3 


14.3 


0.0 


9.7 


New York 


31.8 


32.4 


30.1 


28.4 


30.1 


North Carolina 


7.8 


12.3 


17.2 


13.3 


14.4 


North Dakota 


7.7 


19.5 


13.0 


0.0 


14.0 


Ohio 


6.5 


14.0 


20.3 


32.8 


17.2 


Oklahoma 


5.7 


21.5 


25.6 


0.0 


20.1 


Oregon 


21.7 


19.7 


39.1 


50.0 


27.3 


Pennsylvania 


8.1 


11.0 


17.7 


17.6 


14.6 


Rhode Island 


5.0 


12.5 


15.8 


0.0 


11.6 


South Carolina 


8.1 


10.6 


25.8 


33.3 


17.1 


South Dakota 


8.3 


14.8 


14.3 


n/a 


12.5 


Tennessee 


10.5 


12.3 


13.4 


9.5 


12.4 


Texas 


4.8 


11.6 


18.2 


14.7 


14.4 


Utah 


3.3 


10.7 


12.1 


33.3 


9.6 


Vermont 


0.0 


25.0 


16.7 


n/a 


14.3 


Virginia 


6.1 


9.1 


13.2 


22.2 


11.5 


Washington 


15.2 


28.4 


28.6 


16.7 


25.9 


West Virginia 


4.5 


14.3 


20.5 


100.0 


15.3 


Wisconsin 


8.6 


6.0 


17.4 


15.6 


11.5 


Wyoming 


0.0 


30.8 


61.5 


n/a 


31.6 



Source: OSCAR 
n/a: Data unavailable 



262 



Health Deficiencies 
Pressure Ulcers 



Table 49 (a). Nursing Home Surveys Resulting in a Citation for Failure to Treat or 
Prevent Pressure Ulcers by Type of Ownership: United States, 1996 

Percent by Ownership Type 



For-Profit 



Non-Profit 



Government 



Nation 

Alabama 

Alaska 

Arizona 

Arkansas 

California 



Colorado 

Connecticut 

Delaware 

District of Columbia 

Florida 



Georgia 

Hawaii 

Idaho 

Illinois 

Indiana 



Iowa 

Kansas 

Kentucky 

Louisiana 

Maine 



Maryland 

Massachusetts 

Michigan 

Minnesota 

Mississippi 



Missouri 

Montana 

Nebraska 

Nevada 

New Hampshire 



New Jersey 
New Mexico 
New York 
North Carolina 
North Dakota 



Ohio 

Oklahoma 
Oregon 
Pennsylvania 
Rhode Island 



South Carolina 
South Dakota 
Tennessee 
Texas 
Utah 



Vermont 

Virginia 

Washington 

West Virginia 

Wisconsin 

Wyoming 



Source: OSCAR 
n/a: Data unavailable 



16.9 

22.7 

0.0 

5.7 

32.0 

21.6 



21.2 
14.8 
10.0 
50.0 
15.7 



10.2 
12.5 
8.2 
15.7 
20.9 



23.9 

36.5 

5.3 

8.5 

6.1 



9.8 

7.5 
39.6 
13.1 
17.3 



16.6 
31.6 
18.5 
20.0 
22.9 



5.7 

7.7 

13.1 

12.9 

20.0 



17.9 
13.3 
25.8 
14.7 
9.7 



26.0 
34.2 
11.8 
12.3 
9.6 



15.2 
16.0 
34.5 

5.1 
12.4 

5.3 



12.1 

22.6 

0.0 

1.8 

20.5 

17.5 



8.5 
5.7 

21.4 
7.7 

12.1 



13.7 

0.0 

0.0 

13.0 

11.4 



17.4 

30.5 

0.0 

2.9 

3.1 



6.8 

4.7 

31.0 

10.5 

3.3 



8.6 

9.5 

22.9 

14.3 

10.0 



3.7 
3.7 

D.l 
1.1 

25.0 



16.0 
1.7 
5.9 
8.3 
0.0 



16.1 

13.6 

16.5 

6.7 

0.0 



0.0 

7.1 

19.4 

4.0 

11.8 

33.3 



12.1 

27.3 
0.0 
25.0 
14.3 
10.5 



23.8 
0.0 
0.0 
0.0 

20.0 



0.0 
9.1 
0.0 
9.1 
13.3 



4.2 
18.3 
9.1 
8.0 
0.0 



0.0 

7.1 
28.6 
11.1 

9.7 



12.0 
11.1 
11.9 
0.0 
14.3 



3.8 
0.0 

19.6 
6.3 

50.0 



26.8 
10.0 

0.0 
16.3 

n/a 



30.0 
0.0 

20.7 
2.7 
0.0 



0.0 
8.3 
13.6 
0.0 
3.0 
0.0 



All Facilities 



15.3 

23.1 

0.0 

4.8 

29.5 

20.3 



17.9 
12.8 
13.5 
20.0 
15.0 



10.2 

7.3 

4.9 

14.5 

18.5 



20.3 

32.4 

3.8 

7.4 
5.1 



8.4 

6.8 

36.1 

11.5 

14.0 



14.1 
18.4 
18.4 
16.7 
17.4 



5.0 

5.7 

13.6 

10.1 

25.0 



17.8 
11.6 
20.8 

11.4 
7.1 



24.7 
20.2 
13.6 
11.3 

7.5 



11.6 
12.9 
29.6 

4.3 
10.9 

7.7 






263 



Health Deficiencies 
Pressure Ulcers 



Table 49 (b). Nursing Home Surveys Resulting in a Citation for Failure to Treat or 
Prevent Pressure Ulcers by Type of Ownership: United States, 1997 

Percent by Ownership Type 



For- Profit 



Non-Profit 



Government 



All Facilities 



Nation 

Alabama 

Alaska 

Arizona 

Arkansas 

California 



17.9 

52.6 

0.0 

2.6 

33.5 

25.2 



12.8 

50.0 

0.0 

4.9 

11.6 

15.3 



14.3 

50.0 
0.0 
0.0 
6.7 

20.7 



16.3 

52.0 

0.0 

3.4 

28.7 

22.8 



Colorado 

Connecticut 

Delaware 

District of Columbia 

Florida 



10.9 
19.7 
50.0 
10.0 
18.0 



10.4 
11.5 
33.3 
7.7 
11.8 



17.4 
50.0 
50.0 

66.7 
9.1 



11.4 
18.1 
42.2 
15.4 
16.6 



Georgia 

Hawaii 

Idaho 

Illinois 

Indiana 



7.4 
16.7 
19.2 
23.0 
15.4 



12.5 

7.1 

7.7 

16.9 

5.5 



9.5 
30.0 
15.8 
23.9 
12.5 



16.7 
16.7 
21.2 
13.1 



Iowa 

Kansas 

Kentucky 

Louisiana 

Maine 



17.7 

32.6 

8.3 

9.1 

6.1 



16.8 

25.8 

8.1 

5.6 

3.1 



8.7 
20.0 
0.0 
3.4 
0.0 



16.8 

29.0 

7.9 

8.0 

5.1 



Maryland 

Massachusetts 

Michigan 

Minnesota 

Mississippi 



12.4 
7.5 
35.9 
12.9 
19.3 



9.5 
6.2 

36.6 
6.2 

22.9 



0.0 
0.0 
29.3 
6.5 
6.7 



10.9 
7.0 

35.4 
8.2 

18.1 



Missouri 

Montana 

Nebraska 

Nevada 

New Hampshire 



15.5 
15.8 
9.2 
32.3 
18.4 



8.6 

13.0 

8.8 

0.0 

20.7 



4.2 
30.0 
16.4 

0.0 
38.5 



12.9 
17.3 
10.7 
23.8 
22.0 



New Jersey 
New Mexico 
New York 
North Carolina 
North Dakota 



6.7 
2.3 

13.3 
7.6 

33.3 



3.1 

7.4 

13.1 

1.2 

27.7 



11.8 
0.0 
9.1 
5.6 

50.0 



5.8 
3.9 

12.8 
6.1 

28.9 



Ohio 

Oklahoma 
Oregon 
Pennsylvania 
Rhode Island 



22.7 
12.9 
17.8 
15.8 
11.1 



20.5 
5.4 

18.8 
6.9 
4.0 



26.7 
0.0 
40.0 
13.3 
n/a 



22.3 
11.1 

18.7 

10.9 

9.3 



South Carolina 
South Dakota 
Tennessee 
Texas 
Utah 



25.2 

7.9 

14.0 

14.2 

7.6 



26.1 
7.9 

10.7 
9.1 
7.7 



9.5 
0.0 

18.5 
5.3 

25.0 



23.5 

7.6 

13.6 

13.2 

8.3 



Vermont 

Virginia 

Washington 

West Virginia 

Wisconsin 

Wyoming 



10.3 
19.0 
34.8 
9.3 
12.3 
17.6 



30.0 
10.0 
35.2 
0.0 
11.8 
16.7 



n/a 
50.0 
17.4 
25.0 
4.8 
7.1 



15.4 
17.1 
33.6 
8.0 
11.0 
13.5 



Source: OSCAR 
n/a: Data unavailable 



264 



Health Deficiencies 
Pressure Ulcers 



Table 49 (c). Nursing Home Surveys Resulting in a Citation for Failure to Treat or 
Prevent Pressure Ulcers by Type of Ownership: United States, 1998 

Percent by Ownership Type 



For-Profit 



Non-Profit 



Government 



All Facilities 



Nation 

Alabama 

Alaska 

Arizona 

Arkansas 

California 



19.2 

24.1 
0.0 
15.5 
28.0 
27.9 



13.8 

19.4 
0.0 
8.9 
7.1 

14.5 



14.6 

27.3 
0.0 
0.0 
7.1 

26.1 



17.3 

23.8 
0.0 
12.9 
23.6 
24.9 



Colorado 

Connecticut 

Delaware 

District of Columbia 

Florida 



13.6 
26.6 
36.4 
25.0 
21.9 



4.9 

10.0 

7.7 

0.0 

17.1 



4.3 
50.0 
50.0 
50.0 

7.1 



10.3 
23.4 
25.0 
11.8 

20'; 

1 Hi— 

10.1 
25.0 
27.4 
25.3 
18.6 



Georgia 

Hawaii 

Idaho 

Illinois 

Indiana 



10.8 
42.1 
29.4 
27.4 
19.6 



9.5 

7.1 

21.4 

20.0 

16.9 



3.8 
18.2 
26.3 
30.6 

6.7 



Iowa 

Kansas 

Kentucky 

Louisiana 

Maine 



16.9 
38.4 
13.3 
12.3 
3.1 



13.8 

22.3 

12.0 

9.2 

6.7 



21.2 

33.3 

3.8 

0.0 



15.1 
30.6 
13.4 
11.1 
3.8 



Maryland 

Massachusetts 

Michigan 

Minnesota 

Mississippi 



10.3 
12.6 
35.7 
14.5 
14.1 



10.7 
5.6 
27.0 
15.3 
13.9 



0.0 

0.0 

16.7 

12.7 

28.1 



10.2 
10.3 
31.4 
14.7 
16.2 



Missouri 

Montana 

Nebraska 

Nevada 

New Hampshire 



19.6 
23.5 
18.8 
28.9 
17.4 



11.4 

16.2 

0.0 

8.3 



11.3 
18.8 
16.7 
28.6 
15.4 



15.9 
17.0 
17.5 
27.1 
14.5 



New Jersey 
New Mexico 
New York 
North Carolina 
North Dakota 



9.7 

8.5 

11.0 

14.2 

20.0 



3.4 
14.3 
13.0 

6.1 
22.5 



5.9 
0.0 
14.0 
0.0 
0.0 



7.3 

9.6 

12.1 

11.8 

21.7 



Ohio 

Oklahoma 
Oregon 
Pennsylvania 
Rhode Island 



21.5 
13.7 
16.1 
20.4 
11.5 



19.7 
10.6 
13.9 
12.4 
0.0 



17.9 
0.0 
0.0 

17.0 
n/a 



21.0 
12.6 
15.1 
16.0 
9.1 



South Carolina 
South Dakota 
Tennessee 
Texas 
Utah 



29.9 
16.1 

9.2 
13.0 

9.5 



33.3 
16.7 
15.9 
10.8 
18.8 



26.3 
0.0 

20.0 
4.9 

25.0 



30.0 
15.6 
11.7 
12.4 
11.7 



Vermont 

Virginia 

Washington 

West Virginia 

Wisconsin 

Wyoming 



8.0 
15.1 
32.0 

5.6 
13.7 
10.5 



16.7 

12.2 

29.4 

0.0 

7.7 

0.0 



0.0 

20.0 

19.0 

0.0 

1.6 

11.1 



10.5 

14.3 

30.4 

3.7 

9.8 

9.3 



Source: OSCAR 
n/a: Data unavailable 



265 



Health Deficiencies 
Pressure Ulcers 



Table 49 (d). Nursing Home Surveys Resulting in a Citation for Failure to Treat or 
Prevent Pressure Ulcers by Type of Ownership: United States, 1999 

Percent by Ownership Type 



For-Profit 



Non-Profit 



Government 



All Facilities 



Nation 

Alabama 

Alaska 

Arizona 

Arkansas 

California 



20.7 

29.0 
0.0 
24.6 
27.5 
31.2 



17.4 

21.3 
25.0 
15.0 
29.8 
28.1 



15.2 

28.6 
0.0 
33.3 
15.4 
18.6 



18.6 

27.6 
12.5 
19.5 
24.1 
27.9 



Colorado 

Connecticut 

Delaware 

District of Columbia 

Florida 



11.7 
19.9 
18.8 
0.0 
15.3 



9.4 
12.0 
20.0 
16.7 
11.0 



8.0 

50.0 
0.0 
0.0 
7.7 



10.0 
18.3 
20.0 
6.7 
13.5 



Georgia 

Hawaii 

Idaho 

Illinois 

Indiana 



13.8 
19.0 
32.7 
33.1 
20.1 



8.0 

9.1 
26.9 
31.9 
10.2 



4.0 

9.1 

15.8 

26.7 

0.0 



13.3 
18.6 
25.0 
27.9 
17.2 
14.1 
29.5 
18.7 
11.4 
11.5 



Iowa 

Kansas 

Kentucky 

Louisiana 

Maine 



16.5 
34.5 
21.0 
12.5 
9.8 



12.8 
31.7 
15.9 
13.2 
10.6 



0.0 
23.6 
30.0 

7.4 
16.7 



Maryland 

Massachusetts 

Michigan 

Minnesota 

Mississippi 



26.9 
12.6 
35.1 
9.6 
20.7 



12.5 

8.0 

30.8 

9.1 
17.1 



33.3 

0.0 
28.2 
12.1 
15.4 



19.6 
10.0 
31.8 
13.6 
18.9 



Missouri 

Montana 

Nebraska 

Nevada 

New Hampshire 



24.9 
43.2 
16.0 
32.3 
30.6 



17.2 
48.5 
13.5 
18.2 
15.6 



12.2 

36.8 

6.1 

20.0 

40.0 



22.4 
34.3 
13.6 
25.0 
23.2 



New Jersey 
New Mexico 
New York 
North Carolina 
North Dakota 



17.6 
6.3 
20.6 
17.2 
25.0 



11.3 

3.0 
18.6 
13.0 
22.5 



11.1 
0.0 
23.9 
17.6 
25.0 



13.6 
3.8 
21.3 
14.9 
26.6 



Ohio 

Oklahoma 
Oregon 
Pennsylvania 
Rhode Island 



24.8 
11.8 
35.2 
17.6 
16.2 



19.8 
7.0 
32.3 
15.0 
11.8 



20.0 
23.5 

0.0 
15.6 

n/a 



23.1 
12.2 
32.9 
16.1 
12.1 



South Carolina 
South Dakota 
Tennessee 
Texas 
Utah 



25.0 
12.1 
17.8 
12.1 
12.9 



15.2 
13.0 
12.6 
10.5 
18.5 



11.8 
0.0 

20.0 
5.0 
0.0 



21.7 
14.8 
15.7 
11.3 
11.0 



Vermont 

Virginia 

Washington 

West Virginia 

Wisconsin 

Wyoming 



10.0 
16.9 
26.8 
9.9 
15.5 
11.1 



0.0 
11.6 
26.7 

3.2 
11.4 

0.0 



50.0 
9.1 

26.1 
6.7 
4.8 

11.8 



8.5 
14.4 
28.8 

7.1 
12.1 
10.0 



Source: OSCAR 
n/a: Data unavailable 



266 



Health Deficiencies 
Pressure Ulcers 



Table 49 (e). Nursing Home Surveys Resulting in a Citation for Failure to Treat or 
Prevent Pressure Ulcers by Type of Ownership: United States, 2000 

Percent by Ownership Type 



For-Profit 



Non-Profit 



Government 



All Facilities 



Nation 

Alabama 

Alaska 

Arizona 

Arkansas 

California 



19.8 

16.3 
n/a 
16.1 
26.0 
28.1 



15.2 

21.4 

0.0 

6.8 

21.4 

21.3 



14.5 

21.1 
0.0 

25.0 
7.7 

13.6 



18.2 

17.6 
0.0 
13.5 
24.4 
26.2 



Colorado 

Connertxut 

Delaware 

District of Columbia 

Florida 



21.7 
27.4 
20.0 
33.3 
10.9 



20.7 

22.0 

15.8 

0.0 

9.9 



0.0 
0.0 
0.0 
0.0 
0.0 



19.3 
26.0 
15.9 
9.5 
10.5 



Georgia 

Hawaii 

Idaho 

Illinois 

Indiana 



13.3 
23.5 
23.9 
29.5 
19.3 



14.5 
40.0 
13.3 
15.6 



11.1 

22.2 

15.8 

24.4 

7.1 



13.3 
29.3 
20.0 
25.1 
16.4 



Iowa 

Kansas 

Kentucky 

Louisiana 

Maine 



11.0 
35.4 
16.1 
14.5 
2.1 



9.2 

25.9 

14.0 

5.1 

7.1 



5.3 

11.5 
0.0 
0.0 
0.0 



10.0 
29.0 
14.9 
12.2 
3.2 



Maryland 

Massachusetts 

Michigan 

Minnesota 

Mississippi 



10.6 
12.4 
31.4 
14.7 
19.9 



5.0 

9.2 

19.8 

14.0 

13.3 



0.0 
21.4 
11.9 
12.5 
16.7 



8.0 

11.8 
26.5 
14.0 
18.5 



Missouri 

Montana 

Nebraska 

Nevada 

New Hampshire 



27.2 
25.7 
17.9 
32.4 
25.0 



21.2 
27.9 
11.3 
12.5 
3.7 



21.8 

40.0 

9.3 

0.0 

0.0 



25.1 
29.0 
13.6 
25.0 
13.9 



New Jersey 
New Mexico 
New York 
North Carolina 
North Dakota 



23.8 

4.1 

25.9 

14.9 

8.3 



10.0 
9.1 

31.6 
9.1 

13.9 



20.0 
0.0 

31.4 
0.0 

33.3 



19.1 
5.1 
28.8 
12.9 
13.8 



Ohio 

Oklahoma 
Oregon 
Pennsylvania 
Rhode Island 



22.5 
13.4 
26.5 
20.8 
11.8 



19.4 

4.5 

12.1 

15.0 

0.0 



31.3 
7.1 
33.3 
29.5 
n/a 



22.1 
12.0 
23.7 
18.3 
9.6 



South Carolina 
South Dakota 
Tennessee 
Texas 
Utah 



14.8 
6.5 
12.4 
15.7 
14.3 



20.0 

8.5 

15.7 

13.7 

6.3 



13.6 

0.0 

9.4 

20.0 

25.0 



15.4 
7.3 
12.8 
15.5 
13.4 



Vermont 

Virginia 

Washington 

West Virginia 

Wisconsin 

Wyoming 



13.8 
16.8 
31.0 
3.8 
13.5 
27.3 



20.0 
9.7 

23.8 

10.5 
5.4 

66.7 



0.0 

12.5 

23.8 

0.0 

3.4 

14.3 



15.6 
14.3 
28.8 
5.1 
9.1 
28.6 



Source: OSCAR 
n/a: Data unavailable 



267 



Health Deficiencies 
Pressure Ulcers 



Table 49 (f). Nursing Home 
Prevent Pressure Ulcers by 



Surveys Resulting in a Citation for Failure to Treat or 
Type of Ownership: United States, 2001 



Percent by Ownership Type 



For-Profit 



Non-Profit 



Government 



All Facilities 



Nation 

Alabama 

Alaska 

Arizona 

Arkansas 

California 



19.0 

14.4 
0.0 
12.6 
19.6 
25.2 



14.2 

11.1 

0.0 

5.4 

24.4 

16.4 



12.3 

5.3 

0.0 

0.0 

44.4 

20.0 



17.2 

13.1 
0.0 
10.4 
21.3 
23.3 



Colorado 

Connecticut 

Delaware 

District of Columbia 

Florida 



28.7 
35.5 
31.6 
33.3 

11.2 



23.1 
23.2 
11.1 
38.5 
4.5 



9.5 
0.0 
0.0 
0.0 
7.7 



25.5 
32.4 
20.0 
33.3 
9.6 



Georgia 

Hawaii 

Idaho 

Illinois 

Indiana 



11.7 
31.3 
13.3 
27.5 
14.8 



15.5 
0.0 
14.3 
15.9 
13.3 



0.0 

0.0 

0.0 

28.6 

0.0 



11.5 
14.3 
10.3 
24.3 
13.9 



Iowa 

Kansas 

Kentucky 

Louisiana 

Maine 



5.6 
34.6 
24.7 
18.4 

3.6 



10.1 
17.1 
12.4 
21.3 
3.6 



0.0 

13.2 

0.0 

4.8 

16.7 



7.2 
25.4 
20.1 
18.0 

4.3 



Maryland 

Massachusetts 

Michigan 

Minnesota 

Mississippi 



11.3 
15.4 
27.3 
7.5 
13.6 



5.2 
8.1 

22.1 
8.9 

11.1 



0.0 
0.0 

14.6 
8.5 

21.4 



8.3 
13.0 
24.5 

8.5 
14.4 



Missouri 

Montana 

Nebraska 

Nevada 

New Hampshire 



18.9 
17.9 
16.5 
16.2 
7.5 



10.2 
29.3 
10.9 
12.5 
13.0 



10.3 
10.5 
23.1 
0.0 
33.3 



16.1 
21.6 
16.2 
14.0 
13.3 



New Jersey 
New Mexico 
New York 
North Carolina 
North Dakota 



24.9 
14.9 
28.7 
16.1 
22.2 



17.5 
0.0 
31.5 
10.3 
13.8 



21.1 
0.0 

30.6 
8.7 
0.0 



22.3 
9.7 
30.1 
14.4 
14.0 



Ohio 

Oklahoma 
Oregon 
Pennsylvania 
Rhode Island 



17.0 
20.4 
33.0 
19.0 
13.9 



18.6 
19.0 
17.1 
11.4 
4.3 



10.0 

16.7 

0.0 

7.7 

n/a 



17.2 
20.1 
27.3 
14.6 
11.6 



South Carolina 
South Dakota 
Tennessee 
Texas 
Utah 



16.7 

5.9 

11.3 

15.6 

9.2 



9.5 
17.2 
16.3 

8.9 
11.8 



26.1 

0.0 

10.3 

10.5 

0.0 



17.1 
12.5 
12.4 
14.4 
9.6 



Vermont 

Virginia 

Washington 

West Virginia 

Wisconsin 

Wyoming 



17.9 
12.3 
31.4 
19.2 
17.2 
50.0 



7.7 

11.4 

17.5 

7.1 

7.1 

20.0 



0.0 
0.0 
7.4 

10.0 
3.2 

21.1 



14.3 
11.5 
25.9 
15.3 
11.5 
31.6 



Source: OSCAR 
n/a: Data unavailable 



268 



Health Deficiencies 
Pressure Ulcers 



Table 50 (a). Prevalence of Tube Feeding in Nursing Homes at the 50th 
Percentile: United States, Third Quarter 1998-2001 







Percent of N 


ursing Homes 






1998 Quarter 3 


1999 Quarter 3 


2000 Quarter 3 


2001 Quarter 3 


Percentile 


50th 


50th 


50th 


50th 


Nation 


3.7 


4.4 


4.2 


4.2 


Alabama 


11.3 


20.2 


20.2 


20.2 


Alaska 


6.7 


4.8 


8.5 


6.7 


Arizona 


2.2 


2.8 


2.9 


2.2 


Arkansas 


4.2 


5.3 


5.0 


5.2 


California 


5.2 


6.6 


6.7 


6.3 


Colorado 


1.8 


2.1 


1.8 


1.9 


Connecticut 


2.5 


3.0 


3.1 


3.2 


Delaware 


5.3 


6.6 


5.5 


4.8 


District of Columbia 


10.0 


10.1 


12.6 


10.7 


Florida 


5.6 


6.5 


6.5 


5.9 


Georgia 


6.8 


7.0 


7.3 


7.3 


Hawaii 


6.5 


9.4 


8.7 


9.6 


Idaho 


1.1 


1.2 


1.9 


2.3 


Illinois 


2.6 


3.2 


3.1 


3.3 


Indiana 


3.9 


4.5 


4.3 


4.2 


Iowa 


0.0 


1.1 


1.0 


0.7 


Kansas 


0.8 


1.6 


1.6 


1.4 


Kentucky 


7.0 


7.8 


7.8 


7.3 


Louisiana 


6.5 


8.0 


8.3 


8.1 


Maine 


1.6 


1.9 


1.9 


1.7 


Maryland 


5.8 


6.7 


6.0 


5.7 


Massachusetts 


2.2 


2.6 


2.5 


2.3 


Michigan 


3.0 


4.1 


4.0 


3.7 


Minnesota 


1.3 


1.5 


1.5 


1.4 


Mississippi 


7.5 


8.8 


8.7 


9.1 


Missouri 


3.0 


3.4 


3.3 


3.4 


Montana 


1.6 


1.9 


1.7 


1.9 


Nebraska 


1.0 


1.4 


1.6 


1.7 


Nevada 


5.2 


3.5 


5.6 


5.7 


New Hampshire 


1.1 


1.1 


1.3 


1.1 


New Jersey 


5.4 


5.6 


5.6 


5.5 


New Mexico 


2.7 


2.1 


3.1 


2.4 


New York 


6.3 


6.2 


6.2 


6.0 


North Carolina 


6.9 


7.7 


7.6 


7.1 


North Dakota 


1.8 


2.2 


2.0 


2.0 


Ohio 


5.7 


6.3 


5.8 


5.3 


Oklahoma 


4.2 


4.8 


5.4 


5.4 


Oregon 


1.6 


2.5 


2.3 


2.2 


Pennsylvania 


4.1 


4.8 


4.8 


4.4 


Rhode Island 


2.3 


2.8 


2.8 


2.9 


South Carolina 


5.7 


7.4 


7.9 


7.4 


South Dakota 


1.5 


1.7 


1.6 


1.7 


Tennessee 


5.1 


6.1 


6.1 


6.1 


Texas 


4.8 


5.7 


5.9 


5.6 


Utah 


0.7 


1.5 


1.8 


2.0 


Vermont 


1.9 


2.4 


2.0 


2.2 


Virginia 


5.1 


6.3 


6.3 


6.0 


Washington 


2.9 


3.4 


2.9 


3.0 


West Virginia 


4.8 


5.1 


4.9 


4.7 


Wisconsin 


1.5 


1.8 


1.8 


1.7 


Wyoming 


0.0 


0.8 


0.9 


0.9 



Source: MDS 



269 



Prevalence of Tube Feeding 



Table 50 (b). Prevalence of Weight Loss in Nursing Homes at the 50th 
Percentile: United States, Third Quarter 1998-2001 







Percent of N 


jrsing Homes 






1998 Quarter 3 


1999 Quarter 3 


2000 Quarter 3 


2001 Quarter 3 


Percentile 


50th 


50th 


50th 


50th 


Nation 


10.1 


10.2 


9.5 


9.5 


Alabama 


11.4 


11.4 


11.3 


10.8 


Alaska 


13.6 


11.9 


10.5 


11.3 


Arizona 


10.9 


9.4 


10.0 


8.3 


Arkansas 


10.5 


11.3 


9.5 


9.7 


California 


10.2 


9.9 


9.0 


9.3 


Colorado 


10.7 


10.2 


10.4 


9.5 


Connecticut 


9.3 


9.8 


8.8 


9.3 


Delaware 


12.1 


10.6 


10.3 


11.5 


District of Columbia 


9.9 


10.2 


8.4 


10.1 


Florida 


11.6 


11.2 


11.1 


10.3 


Georgia 


10.6 


10.8 


10.6 


10.4 


Hawaii 


9.4 


10.8 


9.9 


9.8 


Idaho 


12.2 


13.5 


12.4 


12.5 


Illinois 


9.1 


9.0 


8.2 


8.3 


Indiana 


9.9 


9.9 


9.4 


9.1 


Iowa 


8.0 


7.5 


6.8 


7.6 


Kansas 


8.4 


8.0 


7.5 


7.9 


Kentucky 


12.1 


11.7 


10.9 


10.9 


Louisiana 


9.6 


9.2 


8.9 


9.6 


Maine 


9.4 


8.3 


8.9 


9.3 


Maryland 


11.6 


11.2 


10.2 


9.9 


Massachusetts 


10.8 


11.8 


10.4 


9.8 


Michigan 


11.1 


11.5 


10.0 


11.2 


Minnesota 


8.2 


8.7 


8.6 


9.0 


Mississippi 


10.3 


9.6 


8.9 


9.2 


Missouri 


9.7 


10.3 


9.1 


8.7 


Montana 


9.5 


11.1 


11.2 


9.4 


Nebraska 


8.6 


8.6 


8.3 


8.3 


Nevada 


11.6 


11.5 


11.1 


8.8 


New Hampshire 


10.5 


10.8 


10.4 


11.5 


New Jersey 


11.1 


11.7 


11.5 


11.8 


New Mexico 


9.4 


10.3 


9.3 


10.9 


New York 


8.8 


9.2 


8.7 


8.9 


North Carolina 


11.5 


11.1 


10.8 


10.5 


North Dakota 


8.4 


8.1 


7.0 


8.4 


Ohio 


9.8 


10.3 


9.4 


9.4 


Oklahoma 


8.5 


8.2 


8.3 


7.5 


Oregon 


11.4 


11.1 


10.5 


10.6 


Pennsylvania 


11.1 


11.3 


10.6 


10.4 


Rhode Island 


11.7 


12.8 


11.5 


11.1 


South Carolina 


10.8 


11.1 


10.6 


11.5 


South Dakota 


6.8 


7.5 


8.1 


8.5 


Tennessee 


11.1 


11.9 


11.6 


10.8 


Texas 


9.6 


9.1 


8.0 


7.9 


Utah 


11.5 


10.5 


10.5 


9.9 


Vermont 


10.3 


10.8 


10.2 


12.0 


Virginia 


10.4 


11.2 


10.1 


10.8 


Washington 


12.8 


13.4 


11.8 


12.9 


West Virginia 


10.7 


11.1 


10.5 


10.6 


Wisconsin 


10.7 


11.6 


10.2 


10.4 


Wyoming 


9.7 


12.3 


10.4 


10.9 



Source: MDS 



270 



Prevalence of Tube Feeding 



Table 50 (c). Prevalence of Physical Restraints in Nursing Homes at the 50th 
Percentile: United States, Third Quarter 1998-2001 







Percent of Nu 


rsing Homes 






1998 Quarter 3 


1999 Quarter 3 


2000 Quarter 3 


2001 Quarter 3 


Percentile 


50th 


50th 


50th 


50th 


Nation 


7.5 


6.7 


6.4 


6.4 


Alabama 


4.4 


3.0 


3.4 


3.7 


Alaska 


7.1 


6.8 


5.3 


5.0 


Arizona 


9.0 


9.2 


7.6 


7.7 


Arkansas 


20.3 


22.1 


21.3 


22.0 


California 


18.3 


16.3 


15.7 


15.2 


Colorado 


8.6 


7.7 


6.3 


6.9 


Connecticut 


11.0 


9.7 


9.1 


8.9 


Delaware 


1.9 


1.7 


1.2 


0.6 


District of Columbia 


5.4 


3.5 


3.4 


3.1 


Florida 


5.3 


4.9 


4.9 


5.6 


Georgia 


10.7 


10.2 


10.8 


12.4 


Hawaii 


5.3 


7.0 


4.8 


5.8 


Idaho 


6.5 


5.2 


5.5 


5.7 


Illinois 


5.1 


4.0 


3.3 


2.9 


Indiana 


7.4 


5.9 


5.4 


5.6 


Iowa 


1.2 


0.9 


1.0 


1.3 


Kansas 


4.1 


3.6 


3.6 


3.6 


Kentucky 


7.8 


6.8 


7.1 


8.2 


Louisiana 


20.6 


20.3 


20.4 


18.2 


Maine 


5.0 


4.1 


3.7 


3.3 


Maryland 


7.9 


7.5 


5.6 


5.2 


Massachusetts 


4.5 


4.4 


4.1 


4.6 


Michigan 


8.7 


6.2 


5.0 


4.5 


Minnesota 


4.6 


3.2 


3.2 


3.1 


Mississippi 


11.9 


13.1 


15.0 


15.0 


Missouri 


5.7 


5.6 


5.9 


6.1 


Montana 


5.3 


3.8 


2.6 


1.9 


Nebraska 


0.5 


0.0 


0.0 


0.6 


Nevada 


9.1 


7.4 


7.9 


8.9 


New Hampshire 


1.9 


2.2 


2.3 


2.8 


New Jersey 


2.8 


2.4 


2.8 


2.9 


New Mexico 


5.4 


7.8 


6.8 


6.7 


New York 


6.4 


5.9 


5.9 


5.4 


North Carolina 


7.4 


6.5 


6.7 


6.6 


North Dakota 


6.2 


4.5 


4.4 


5.2 


Ohio 


6.9 


6.8 


7.2 


7.4 


Oklahoma 


9.7 


8.7 


9.5 


8.3 


Oregon 


9.8 


10.3 


9.2 


10.4 


Pennsylvania 


5.6 


5.1 


4.2 


4.0 


Rhode Island 


4.8 


4.9 


4.2 


3.6 


South Carolina 


5.7 


6.9 


6.4 


8.9 


South Dakota 


10.9 


8.3 


7.4 


7.2 


Tennessee 


13.4 


12.1 


12.0 


11.9 


Texas 


15.2 


16.3 


16.7 


16.6 


Utah 


7.2 


5.7 


5.8 


5.3 


Vermont 


4.3 


3.9 


3.5 


3.6 


Virginia 


6.3 


5.2 


4.9 


5.8 


Washington 


8.0 


5.9 


6.4 


6.3 


West Virginia 


6.4 


5.1 


4.9 


5.7 


Wisconsin 


7.0 


4.8 


3.9 


2.9 


Wyoming 


4.7 


5.8 


6.3 


7.0 



Source: MDS 



271 



Prevalence of Tube Feeding 



Table 50 (d). Prevalence of Pressure Ulcers in Nursing Homes at the 50th 
Percentile: United States, Third Quarter 1998-2001 



Percent of Nursing Homes 




1998 Quarter 3 


1999 Quarter 3 


2000 Quarter 3 


2001 Quarter 3 


Percentile 


50th 


50th 


50th 


50th 


Nation 


7.1 


7.4 


7.7 


7.9 


Alabama 


7.0 


7.2 


7.8 


7.7 


Alaska 


6.3 


5.3 


6.4 


A3 


Arizona 


8.6 


8.8 


7.7 


8.8 


Arkansas 


7.4 


7.5 


71 


7.4 


California 


9.6 


9.8 


10.0 


10.2 


Colorado 


4.9 


5.6 


6.1 


6.5 


Connecticut 


5.3 


5.5 


5.9 


6.8 


Delaware 


7.8 


7.1 


8.4 


8.3 


District of Columbia 


10.4 


10.9 


10.3 


11.4 


Florida 


9.2 


9.3 


9.8 


9.9 


Georgia 


7.6 


8.2 


9.0 


8.6 


Hawaii 


7.7 


6.3 


7.2 


7.2 


Idaho 


5.3 


4.7 


5.6 


5.8 


Illinois 


7.0 


7.4 


7.2 


7.3 


Indiana 


7.5 


7.4 


7.5 


7.9 


Iowa 


3.4 


3.1 


3.6 


3.8 


Kansas 


5.0 


4.8 


5.6 


5.1 


Kentucky 


7.1 


7.8 


8.2 


9.1 


Louisiana 


6.9 


7.5 


8.2 


9.1 


Maine 


6.5 


7.0 


6.8 


7.1 


Maryland 


8.7 


9.9 


9.0 


10.4 


Massachusetts 


6.7 


7.1 


7.7 


8.0 


Michigan 


7.5 


7.5 


7.9 


8.3 


Minnesota 


3.6 


4.1 


3.9 


4.4 


Mississippi 


7.4 


8.1 


7.6 


6.8 


Missouri 


5.9 


6.3 


6.7 


6.6 


Montana 


3.2 


4.0 


4.0 


5.0 


Nebraska 


4.1 


3.7 


4.2 


4.2 


Nevada 


9.6 


8.8 


11.1 


10.5 


New Hampshire 


4.9 


5.4 


4.9 


5.9 


New Jersey 


8.7 


9.9 


10.9 


11.2 


New Mexico 


7.0 


7.4 


7.4 


8.1 


New York 


8.2 


8.5 


8.9 


9.3 


North Carolina 


8.2 


8.6 


8.9 


9.2 


North Dakota 


3.5 


3.0 


3.7 


3.5 


Ohio 


6.4 


7.3 


7.5 


7.5 


Oklahoma 


6.3 


6.8 


7.5 


7.3 


Oregon 


6.7 


6.7 


7.1 


8.0 


Pennsylvania 


8.5 


9.5 


9.8 


10.1 


Rhode Island 


6.6 


7.7 


7.4 


7.9 


South Carolina 


8.3 


7.7 


9.1 


9.6 


South Dakota 


4.3 


4.2 


5.3 


5.0 


Tennessee 


7.7 


8.5 


8.5 


8.0 


Texas 


7A 


7.9 


8.1 


7.7 


Utah 


5.1 


5.0 


5.7 


6.9 


Vermont 


6.7 


4.8 


7.1 


6.8 


Virginia 


7.9 


8.9 


9.3 


10.2 


Washington 


7.6 


7.6 


8.3 


8.6 


West Virginia 


7.8 


9.5 


8.7 


9.4 


Wisconsin 


5.7 


5.9 


5.7 


5.7 


Wyoming 


4.7 


4.2 


5.6 


6.5 



Source: MDS 



272 



Prevalence of Tube Feeding 



Table 50 (e). Prevalence of Dehydration in Nursing Homes at the 
Percentile: United States, Third Quarter 1998-2001 



50th 







Percent of N 


ursing Homes 






1998 Quarter 3 


1999 Quarter 3 


2000 Quarter 3 


2001 Quarter 3 


Percentile 


50th 


50th 


50th 


50th 


Nation 


2.7 


2.4 


1.7 


1.5 


Alabama 


3.0 


2.0 


1.4 


1.2 


Alaska 


5.9 


6.7 


12.0 


4.3 


Arizona 


3.8 


3.6 


2.2 


1.4 


Arkansas 


3.0 


2.5 


1.7 


1.4 


California 


3.0 


2.9 


1.7 


1.5 


Colorado 


4.0 


3.5 


1.9 


1.6 


Connecticut 


2.2 


2.0 


1.4 


1.4 


Delaware 


2.2 


1.5 


1.3 


1.3 


District of Columbia 


2.8 


1.7 


3.2 


1.0 


Florida 


2.4 


2.3 


1.1 


1.0 


Georgia 


1.8 


1.8 


1.3 


1.4 


Hawaii 


4.5 


1.6 


1.0 


1.9 


Idaho 


5.7 


3.9 


2.4 


2.9 


Illinois 


1.9 


1.4 


0.9 


0.8 


Indiana 


2.7 


2.3 


1.5 


1.0 


Iowa 


1.7 


1.7 


1.3 


0.7 


Kansas 


2.6 


2.4 


1.9 


1.6 


Kentucky 


3.2 


2.4 


1.5 


1.4 


Louisiana 


3.1 


3.3 


2.0 


2.0 


Maine 


2.9 


2.7 


2.4 


2.2 


Maryland 


2.7 


2.2 


1.6 


1.4 


Massachusetts 


2.8 


3.2 


1.9 


1.9 


Michigan 


2.9 


2.4 


1.5 


1.3 


Minnesota 


1.7 


1.8 


1.4 


1.2 


Mississippi 


3.0 


1.6 


1.6 


0.8 


Missouri 


3.8 


3.1 


2.2 


1.9 


Montana 


6.3 


4.6 


3.2 


3.0 


Nebraska 


2.6 


2.1 


1.8 


1.5 


Nevada 


3.8 


2.8 


2.0 


1.0 


New Hampshire 


1.3 


2.9 


1.7 


1.5 


New Jersey 


1.7 


1.7 


1.3 


1.4 


New Mexico 


3.2 


3.1 


1.5 


1.1 


New York 


1.5 


1.6 


1.2 


1.1 


North Carolina 


2.5 


2.4 


1.9 


1.6 


North Dakota 


2.4 


2.3 


1.3 


2.0 


Ohio 


2.4 


2.2 


1.4 


1.1 


Oklahoma 


3.7 


2.8 


2.5 


1.9 


Oregon 


4.0 


3.6 


2.6 


2.1 


Pennsylvania 


2.8 


2.4 


1.4 


1.2 


Rhode Island 


2.5 


2.2 


1.6 


1.7 


South Carolina 


2.0 


2.1 


2.3 


2.0 


South Dakota 


1.9 


2.3 


2.3 


1.9 


Tennessee 


3.1 


2.9 


1.5 


1.6 


Texas 


2.4 


2.3 


1.4 


1.2 


Utah 


4.5 


3.0 


2.8 


2.8 


Vermont 


2.0 


3.0 


2.4 


3.2 


Virginia 


1.8 


1.9 


2.2 


1.5 


Washington 


8.2 


6.6 


4.4 


4.9 


West Virginia 


4.3 


3.2 


3.2 


2.0 


Wisconsin 


2.2 


2.0 


1.8 


1.5 


Wyoming 


4.5 


2.5 


3.4 


2.0 



Source: MDS 



273 



Prevalence of Tube Feeding 



Table 50 (f). Prevalence of Severe Bowel or Bladder Incontinence in Nursing 
Homes at the 50th Percentile: United States, Third Quarter 1998-2001 







Percent of Nu 


rsing Homes 






1998 Quarter 3 


1999 Quarter 3 


2000 Quarter 3 


2001 Quarter 3 


Percentile 


50th 


50th 


50th 


50th 


ation 


35.7 


36.0 


35.7 


35.7 


Alabama 


42.8 


43.3 


42.1 


42.1 


Alaska 


23.5 


23.5 


18.0 


18.0 


Arizona 


36.3 


36.8 


35.7 


35.7 


Arkansas 


37.3 


37.8 


38.6 


38.6 


California 


47.7 


47.6 


47.2 


47.2 


Colorado 


26.1 


27.1 


27.1 


27.1 


Connecticut 


31.2 


30.5 


30.6 


30.6 


Delaware 


39.7 


40.4 


40.2 


40.2 


District of Columbia 


50.0 


52.1 


49.5 


49.5 


Florida 


38.5 


38.6 


38.8 


38.8 


Georgia 


44.5 


44.2 


45.0 


45.0 


Hawaii 


53.4 


49.5 


50.8 


50.8 


Idaho 


29.8 


27.0 


28.7 


28.7 


Illinois 


25.0 


24.5 


24.1 


24.1 


Indiana 


31.4 


32.9 


31.9 


31.9 


Iowa 


19.0 


18.2 


18.2 


18.2 


Kansas 


23.3 


23.2 


23.4 


23.4 


Kentucky 


46.9 


46.6 


46.0 


46.0 


Louisiana 


37.1 


37.9 


38.1 


38.1 


Maine 


36.0 


36.6 


34.5 


34.5 


Maryland 


45.6 


47.4 


45.9 


45.9 


Massachusetts 


41.6 


41.7 


41.3 


41.3 


Michigan 


33.3 


32.7 


31.1 


31.1 


Minnesota 


28.6 


27.2 


26.5 


26.5 


Mississippi 


42.1 


44.2 


45.2 


45.2 


Missouri 


29.2 


29.6 


27.3 


27.3 


Montana 


27.0 


26.2 


23.3 


23.3 


Nebraska 


19.6 


19.4 


20.0 


20.0 


Nevada 


39.3 


37.8 


40.2 


40.2 


New Hampshire 


24.3 


25.4 


24.0 


24.0 


New Jersey 


37.3 


37.0 


36.9 


36.9 


New Mexico 


35.1 


36.2 


36.2 


36.2 


New York 


43.8 


41.9 


42.2 


42.2 


North Carolina 


46.6 


47.3 


47.9 


47.9 


North Dakota 


24.2 


24.1 


23.0 


23.0 


Ohio 


30.2 


29.5 


28.6 


28.6 


Oklahoma 


33.3 


33.3 


31.6 


31.6 


Oregon 


36.7 


35.2 


35.5 


35.5 


Pennsylvania 


41.4 


43.2 


43.4 


43.4 


Rhode Island 


27.8 


27.6 


28.0 


28.0 


South Carolina 


52.5 


54.4 


52.3 


52.3 


South Dakota 


22.1 


21.8 


22.6 


22.6 


Tennessee 


43.1 


44.0 


43.9 


43.9 


Texas 


43.4 


45.2 


45.8 


45.8 


Utah 


25.6 


29.1 


29.7 


29.7 


Vermont 


31.8 


30.4 


28.9 


28.9 


Virginia 


51.9 


50.0 


48.8 


48.8 


Washington 


32.2 


31.0 


32.5 


32.5 


West Virginia 


38.3 


38.3 


38.7 


38.7 


Wisconsin 


23.8 


23.5 


23.5 


23.5 


Wyoming 


15.7 


14.7 


17.3 


17.3 



Source: MDS 



274 



Prevalence of Tube Feeding 



Appendix A 



Methods Used in the Data Compendium 



Data Sources 

There are three principal sources of data used in this data compendium: (1) CMS's survey and certification 
administrative dataset, known as OSCAR, (2) a set of clinical data collected on every resident of every Medicare- and 
Medicaid-certified nursing home in the country, the Minimum Data Set (MDS), and (3) United States population data 
from the United States Bureau of the Census. 



Notes on Data Quality 

It is important to note that the Minimum Data Set (MDS) data, from which measures of nursing home resident characteristics 
are derived, are self-reported by each nursing home. In self-reported databases such as the MDS, there are likely to be 
significant variations in the quality of record keeping and reporting at the facility level (for example, errors in coding date of 
birth, race, sex and facility). Studies of the accuracy of the MDS have suggested that measurement error is largely random 
(Chomiak, et. al., 2001). We cannot, however, rule out systematic differences in the way in which nursing homes record the 
MDS assessment data. These systematic differences may include biases in the way in which nursing homes observe or record 
data, and systematic changes in the way in which data are observed or recorded over time. 



Notes on Measures of Resident Clinical Characteristics 

It is important to note that the measures used throughout this report were derived using standard epidemiological and 
demographic methods. Although many of the measures use descriptions similar to those used in quality indicators or quality 
measures (for example, the prevalence of pressure ulcers) they were often calculated in different ways. We describe the 
calculations in more detail below. 



Calculation of Resident-Specific Measures 

Annual Measures 

Gender, age, race, Cognitive Performance Scale (CPS) Score, and number of ADL impairments were calculated for 
each resident from the MDS assessment closest to July 1 of the year of interest. All of these measures are reported 
by the nursing home. 

CPS 

The Cognitive Performance Scale (Morris, 1994) is one method for estimating the cognitive ability of nursing home 
residents based on items reported in the MDS assessment. Based on the scoring algorithm a resident is classified 
as having very severe, severe, moderately severe, moderate, mild, very mild, or no impairment. 

Activities of Daily Living 

There are many ways of estimating the amount of impairment in ADLs. For this analysis the ADLs evaluated were: 
bed mobility, dressing, eating, transferring, and toileting. In addition, dependency was considered to exist only when 
a resident required extensive assistance with one or more of these activities. The data presented are summary 
counts of the number of ADLs with which a resident requires extensive assistance. 



Incidence and Prevalence Measures: A General Note 

All prevalence and incidence data presented in this compendium were derived from MDS assessment data. It is 
important to examine both incidence and prevalence rates in assessing many aspects of quality of care provided to 
nursing home residents. The two measures give different information. Prevalence quantifies the proportion of 

275 



individuals in a population who have a given condition at a specific point in time. Incidence quantifies the number of 
new events or occurrences of a condition that develop in a population of individuals at risk during a time interval. For 
example, prevalence of pressure ulcers in a nursing home would give the proportion of the residents who had a 
pressure ulcer during a time interval. These could be newly occurring ulcers or ulcers that had been present for 
some period of time. Incidence of pressure ulcers in a nursing home would be the proportion of residents who have 
newly occurring ulcers during a time interval. If we exclude pressure ulcers noted on admission or readmission MDS 
assessments, we can infer that incident ulcers occurred while the residents were under the care of the nursing 
home. 

Since MDS assessments are collected on a schedule that differs for every resident, there are methodological 
challenges in the calculation of incidence and prevalence measures. For these figures and tables, prevalence was 
assessed using the midpoint of each calendar quarter as a starting point (baseline). Cases of interest occurred 60 
days before or after the midpoint and were unique. That is, if a resident had two assessments collected during the 
observation period, only the one closest in time to the starting point was retained. Prevalence was calculated as the 
number of identified cases divided by the number of eligible residents at baseline (the midpoint estimate of the 
nursing home population). Prevalence calculations include admission and readmission assessments. 

Incidence calculations were slightly more complicated. To illustrate, incidence of pressure ulcers was calculated by 
identifying all pressure ulcer cases that are not noted on admission or readmission assessments during a quarter of 
interest (for example, January 1 to March 31). Each assessment indicating presence of a pressure ulcer (index 
assessment) is then compared with the resident's immediately preceding assessment. If the preceding comparison 
assessment indicates that no pressure ulcer is present, then the index assessment is considered an incident 
pressure ulcer. Incident pressure ulcers constitute the numerator of the quarter. The denominator consists of all 
eligible assessments closest to the midpoint of the quarter (but not more than 60 days from the midpoint) that 
indicate presence of no pressure ulcers. 

Use of Descriptive Statistics: A General Note 

A number of the conditions and characteristics assessed for this report are not normally distributed in the nursing 
home population; sometimes the distribution is quite skewed. For example, in 2001 the prevalence of dehydration is 
zero percent for more than half the nursing homes in the nation. For conditions like dehydration, the use of a mean 
(or average) value will not characterize how the data are distributed (or spread out). Therefore, in the tables for 
those conditions and characteristics we have presented the median (or middle value) as well as the 90 th and 10 th 
percentile values. The 90 th percentile is the value below which 9096 of the values in the distribution fall, and the 10 th 
percentile is the value below which 1096 of the values fall. These two pieces of information help one understand how 
values are clustered at the ends of the distribution. 

Prevalence of Dehydration 

To estimate the prevalence of dehydration, we identified all individuals for whom the nursing home indicated that 
fluid output exceeded fluid input. It is important to note that we excluded assessments of individuals who were 
reported by the nursing home to be in end-stage disease or who were receiving hospice care. 

Pressure Ulcer Incidence and Prevalence 

To estimate the incidence and prevalence of pressure ulcers, we identified individuals with a pressure ulcer of stage 
2 or greater. We then calculated incidence and prevalence rates as detailed in "Incidence and Prevalence Measures: 
A General Note" above. 

Restraints Incidence and Prevalence 

To estimate the incidence and prevalence of physical restraint use, we adopted a conservative approach, considering 
only individuals whom the nursing home reported were in a trunk restraint, limb restraint, or some sort of restraining 

276 



chair at least once during the 7 days prior to the assessment. It is important to note that we did not report the use of 
bed rails for this measure, because of our concern about biases in the measurement of this item. 

Prevalence of Weight Loss 

To estimate the prevalence of weight loss, we identified all individuals whom the nursing home indicated had 
experienced weight loss of more than 596 in the 30 days prior to the assessment or more than 10% in the 180 days 
prior to the assessment. It is important to note that we excluded individuals who were reported by the nursing home 
to be in end-stage disease or who were receiving hospice care. 

Prevalence of Tube Feeding 

To estimate the prevalence of feeding tube use in nursing homes we identified all individuals whom the nursing home 
reported had a feeding tube, defined as "any tube that can deliver food/nutritional substances/fluids/medications 
directly into the gastrointestinal system." We excluded assessments of individuals admitted to the nursing home with 
feeding tubes because we wanted to separate the use of feeding tubes by nursing homes from the use of feeding 
tubes by hospitals. 

Prevalence of Incontinence 

For this measure, we identified persons who were incontinent of bladder or of bowel on almost all occasions. This is 
a measure of severe incontinence. It is important to note that this differs from the Quality Indicator on incontinence 
that is used in the survey process. 



OSCAR Measures 

Number of Nursing Homes 

We have derived counts of the number of nursing homes from an Online Survey Certification and Reporting System 
(OSCAR) file created in March of each year. It was derived from OSCAR'S table of survey records. The counts may 
differ slightly from other published estimates of the number of nursing homes. Such difference may occur because 
the counts were made at different points in the year, because different assumptions were made about eliminating 
potential duplicate records, or because the number of nursing homes was derived from the master provider table in 
OSCAR, rather than from survey records. 

Average Number of Deficiencies 

The figures and tables report the mean number of health deficiencies cited during an on-site survey by state and for 
the nation by calendar year. Health deficiency citations are based on the Interpretive Guidelines from the "State 
Operations Manual for Provider Certification." Note that for all of the calendar year tables the weighting scheme is 
unique. Any facility that was not surveyed during the particular calendar year is not counted and any facility that was 
surveyed twice during the year is doubly counted, giving it a weight of 2. Facilities are surveyed once a year on 
average. 

Percentage of Surveys Resulting in No Deficiencies 

This measure is defined as the number of surveys that resulted in zero citations for health deficiencies during a 
calendar year, divided by the number of surveys conducted that year. 

Percentage of Surveys Resulting in Citation for Substandard Quality of Care 



277 



The table reports the percentage of surveys resulting in citations for substandard quality of care (SSQC) nationally 
and by state by calendar year. SSQC is defined as any deficiency in meeting Federal regulations as outlined in the 
Code of Federal Regulations (42 CFR 483.13 Resident Behavior and Facility Practices, 42 CFR 483.15 Quality of Life, 
or 42CFR 483.25 Quality of Care), at a scope and severity level of 'F', 'H', T, 'J', 'K 1 , or r. A grid that details the scope 
and severity levels is included as the last page of this Methods Section. 

Percentage of Surveys Resulting in Citation for Abuse 

The table reports the percentage of on-site nursing home surveys resulting in citations for abuse of residents. Abuse 
citations are those deficiencies cited under tag F223 of the Interpretive Guidelines from the "State Operations 
Manual for Provider Certification". 

Percentage of Surveys Resulting in Citation for Improper Restraint Use 

The table reports the percentage of nursing home surveys resulting in a citation for improper restraint use (tags 
F221-F222 of the Interpretive Guidelines from the "State Operations Manual for Provider Certification"). 

Percentage of Surveys Resulting in Citation for Pressure Ulcers 

This table reports the percentage of nursing home surveys resulting in a citation for pressure ulcers (tag F314 of the 
Interpretive Guidelines from the "State Operations Manual for Provider Certification"). 

Percentage of Surveys Resulting in Citation for Actual Harm or Worse 

This table reports the percentage of surveys resulting in a citation for actual harm, defined as a deficiency citation 
that is rated at scope and severity 'G' or more severe. (See grid at the end of the Methods Section.) 

Percentage of Surveys Resulting in Citation for Immediate Jeopardy 

This table reports the percentage of surveys resulting in a citation for immediate jeopardy to resident health and 
safety. Immediate jeopardy is a deficiency that constitutes an immediate threat to the health or life of one or more 
nursing home residents. It is recorded by the state survey agency at scope and severity of 'J' or higher. (See the 
Scope and 'Severity Grid 'at the end of the Methods Section). 

Scope and Severity Distribution by Year 

CMS describes the magnitude and breadth of a nursing home's failure to meet Federal regulations in terms of "scope 
and severity." (See Scope and Severity Grid at the end of the Methods Section.). To describe the portion of all scope 
and severity scores that one score represents, we divide the number of deficiency citations receiving that score by 
the total number of citations. 

Additional Notes 

Change in Methodology: Nursing Home Occupancy Rates 

For the Data Compendium 2000, we calculated a nursing home's occupancy rate by dividing the total number of 
residents by the total number of beds, as recorded in OSCAR fields described as total residents/clients and beds- 
total respectively. We concluded that this method leads to an underestimation of occupancy rates: The beds-total 
field captures the count of beds in a nursing home when that nursing home is freestanding; however, when the 
nursing home exists as the distinct part of another institution (such as a hospital), it captures a count of all beds in 
the institution. This dilutes the occupancy rate, since beds that are not certified for use by nursing home residents 
are counted in the denominator. 

We calculate occupancy rates differently, and we believe more accurately, in the 2001 edition of the Data 
Compendium. Instead of using beds-total 'to obtain the bed count, we use the beds-total certified 'field. When the 
nursing home is the distinct part of another institution, this field captures the number of beds that are certified for 
nursing home use only. 

278 



i - 



Changes in Historical Data 

OSCAR is an administrative database that allows users to add, change, and delete data from the OSCAR database 
almost continually. In addition, OSCAR stores no more than four standard surveys per provider. The system 
automatically deletes older surveys as new ones are entered. For these reasons, analysis of the same data elements 
or fields may yield slightly different results if they use OSCAR data that were retrieved from the database at different 
points in time. Such variation may become apparent when comparing OSCAR measures in this document to the same 
measures in the Nursing Home Data Compendium 2000 



Data from Multiple Sources 

For analyses dependent on resident-specific (MDS) data only, we include every qualifying assessment regardless of 
whether the facility from which it originates has an identifiable record in OSCAR. However, where resident-specific 
data are summarized by OSCAR facility-level data (ownership, certification, bed size category, or chain affiliation), we 
exclude every MDS assessment from a nursing home 1) that does not have an identifiable record in OSCAR, or 2) for 
which the facility-level data are missing or invalid in the OSCAR record for that nursing home. 



279 



Figure 58. Scope and Severity Grid used by Federal Nursing Home Regulation and 
Enforcement Surveyors 



CD 
> 
CD 
CO 



Immediate Jeopardy 

to resident health or 
safety 



Actual Harm that is 
not Immediate 
Jeopardy 



No Actual Harm with 
Potential for More 
than Minimal Harm 

that is not Immediate 
Jeopardy 



No Actual Harm with 
Potential for Minimal 
Harm 



J 


K 


L 


G 


H 


I 


D 


E 


F 


A 


B 


C 



Isolated 



Pattern 



Widespread 



280 



References 

Chomiak A, Eccord M, Frederickson E, Glass R, et. Al. Development and Testing of a Minimum Data Set Accuracy 
Verification Protocol. Final Report, HCFA Contract No. 500-96-0003/TO#6, February 2001. 

Morris JN, Fries BE, Mehr DR, Hawes C, Phillips C, Mor V, Lipsitz LA. MDS Cognitive Performance Scale. J Gerontol. 
1994 Jul; 49(4): M174-82. 






281 



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